10 results
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... #HRCT #ChestCT ... #Differential #Table
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... #Differential # ... Diagram #Comparison
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
bronchiolitis: ill ... Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential ... #Comparison #Table
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... Centrilobular emphysema ... Diagnosis #Radiology #CTChest ... #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... patterns: reticular, nodular ... low attenuation (table ... Diagnosis #Radiology #Pulmonary ... Interstitial #Pattern #Differential
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
HR-pattern: reticular nodular ... low attenuation (emphysema ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm #ILD
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... show very similar HRCT ... Diagnosis #Radiology #CTChest ... #UIP #Comparison
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... are paraseptal emphysema ... there is a broad differential ... interpretion of the HRCT ... Clinical #Radiology #CTChest
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
has a limited differential ... diagnosis (Table ... in interstitial pulmonary ... Nodular or irregular ... #HRCT #CTChest