10 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... On a Chest X-Ray ... in many cases UIP ... #Differential # ... RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
pneumonia and UIP ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... Central #Peripheral #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... on the basis of HRCT ... #Diagnosis #Radiology ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
is seen in: - UIP ... Pulmonary edema #Diagnosis ... Radiology #Pulmonary #HRCT ... #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... A HRCT is needed ... to confirm the diagnosis ... HRCT demonstrated ... #Honeycombing #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... bronchiolitis #Diagnosis ... #GroundGlass #Differential ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... smokers, upper lobe ... show very similar HRCT ... #Clinical #Diagnosis ... Fibrosis #Mimic #ILD #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
On the left a chest ... findig on the chest ... is a reticular patern ... diagnosis in this ... Histiocytosis #Cystic #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... diagnosis (Table ... Kerley B lines on chest ... #Pulmonary #HRCT ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... there is a broad differential ... diagnosis and additional ... patient was coughing up ... RespiratoryBronchiolitis #ILD #RadiologyAssistant