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radiology radiologyassistant clinical diagnosis pulmonary table cxr differential hypersensitivitypneumonitis interstitial lowattenuation nodular chronic emphysema fibrosis hypersensitivity langerhanscellhistiocytosis lch pneumonitis acuteinterstitialpneumonia
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... low attenuation areas ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... low attenuation areas ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... The cystic pattern ... When the cysts have ... seen and in many cases ... #Diagnosis #Radiology
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
High Attenuation pattern ... with peripheral areas ... #HRCT #CTChest ... HighAttenuation #Pattern ... #Comparison #Table
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
The fourth pattern ... low attenuation pattern ... on the basis of HRCT ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table
Chronic hypersensitivity pneumonitis The key findings in chronic hypersensitivity pneumonitis are: Mosaic pattern with areas of ground-glass atenuation
pneumonitis are: Mosaic pattern ... with areas of ground-glass ... atenuation and areas ... The HRCT shows a ... mosaic pattern
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
with a reticular pattern ... or a cystic pattern ... or a reticular pattern ... a HRCT will give ... #CXR #CTChest #
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
with a nodular pattern ... before the typical cysts ... #Pulmonary #CTChest ... #Nodular #Pattern ... #Differential #Comparison
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