13 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
with areas of ground-glass ... atenuation and areas ... shows a mosaic pattern ... #Clinical #Radiology ... #CXR #CTChest #
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... Centrilobular emphysema ... low attenuation areas ... #Clinical #Radiology ... #HRCT #CTChest
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... Centrilobular emphysema ... low attenuation areas ... #Clinical #Radiology ... #HRCT #CTChest
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
An 86-year-old woman ... sudden-onset shortness of breath ... neck (shown in video ... travels from these areas ... in subcutaneous areas
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On the left two different patients with similarl HRCT findings.
The left one is a smoker with
smoker with RB-ILD ... the right has hypersensitivity ... the well defined areas ... #Clinical #Radiology ... #CTChest #RBILD
Lung abnormalities mostly present as areas of increased density, which can be divided into the following
mostly present as areas ... the following patterns ... Less frequently areas ... are seen as in emphysema ... published soon: Chest
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
scan: the mosaic pattern ... with areas of ground-glass ... attenuation and areas ... #Clinical #Radiology ... #CTChest #Chronic
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... low attenuation (emphysema ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
shows diffuse areas ... and some mosaic pattern ... smoking #Clinical #Radiology ... #CTChest #DIP # ... DesquamativeInterstitialPneumonia #ILD
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
of panlobular emphysema ... to widespread areas ... the other hand, mild ... #Clinical #Radiology ... #CTChest #Panlobular