12 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On HRCT there are ... On a Chest X-Ray ... seen and in many cases ... #Diagnosis #Radiology ... #Pulmonary #CXR
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Diagnosis #Clinical #Radiology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... bronchovascular interstitium ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... The histologic pattern ... There are areas ... and extensive areas ... #CTChest #AIP #
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... On a chest X-ray ... A HRCT is needed ... #Clinical #Radiology ... UIP #Reticular #Interstitial
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
The HRCT shows diffuse ... areas of ground-glass ... and some mosaic pattern ... #CTChest #DIP # ... DesquamativeInterstitialPneumonia #ILD
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... #Pulmonary #HRCT ... #CTChest #Interpretation ... #Algorithm #ILD
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
An 86-year-old woman ... and spaces can cause ... travels from these areas ... and perivascular interstitium ... in subcutaneous areas
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
left a typical case ... to widespread areas ... the other hand, mild ... difficult to detect on HRCT ... #CTChest #Panlobular