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radiology radiologyassistant clinical comparison diagnosis differential pulmonary hypersensitivitypneumonitis ild cxr fibrosis pneumonitis chronic cystic highattenuation lowattenuation nodular reticular acuteinterstitialpneumonia aip
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 ... The HRCT shows a ... #Clinical #Radiology ... #CXR #CTChest #
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
with peripheral areas ... presenting as areas ... with peripheral areas ... #HRCT #CTChest ... #Comparison #Table
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
disease comes from HRCT ... On HRCT there are ... low attenuation (table ... On a Chest X-Ray ... #Diagnosis #Radiology
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 ... #Comparison #Table
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 ... #Comparison #Table
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Ground-glass opacity Ground-glass opacity (GGO) represents: - Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Thickening of the interstitium ... resolution of the HRCT ... in ground glass pattern ... distribution: Hypersensitivity ... #Pulmonary #CTChest
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
This patient presented with acute dyspnoe and a normal chest film (not shown). The HRCT at presentation
The HRCT at presentation ... shows lobular areas ... A control HRCT ten ... #Clinical #Radiology ... #CTChest #Hypersensitivity
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