11 results
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
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 ... Differential #Diagram #Comparison ... #SignetRing #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
low attenuation (emphysema ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... Interpretation #Algorithm #ILD ... #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 ... #Radiology #CTChest ... #UIP #Comparison ... #RadiologyAssistant
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
some of them the old ... #Diagnosis #Radiology ... #Pulmonary #SHITFACED ... #Mnemonic #HRCT ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
of the lung to injury ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Findings #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
Pulmonary vessels ... the other hand, mild ... difficult to detect on HRCT ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the differential diagnosis ... without associated pulmonary ... emphysema. ... #Radiology #CTChest ... #Comparison #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
bronchiolitis: ill ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #Differential #Comparison ... #Table #RadiologyAssistant
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 ... broad differential diagnosis ... #Clinical #Radiology ... #RadiologyAssistant