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radiology radiologyassistant clinical diagnosis pattern differential algorithm chestct chronic cystic cysts fibrosis hypersensitivitypneumonitis interpretation lower mimic nodularpattern reticular uip upper
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
perilymphatic distribution ... 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 ... #HRCT #ChestCT ... #Differential #Table ... #Distribution #
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
perilymphatic distribution ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
perilymphatic distribution ... Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential #Comparison ... #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis. Nodular LCH: - Sarcoidosis: perilymphatic distribution. - Metastases: random distribution. Cystic LCH: - LAM: round
Nodular LCH: - Sarcoidosis ... Centrilobular emphysema ... Diagnosis #Radiology #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right) Differential diagnosis of Hypersensitivity Pneumonitis. Subacute stage: - RB-ILD: seen in
centrilobular emphysema ... show very similar HRCT ... strong lower zone distribution ... Diagnosis #Radiology #CTChest ... #UIP #Comparison
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
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Cardiogenic pulmonary ... and perihilar distribution ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
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