15 results
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... low attenuation areas ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... low attenuation areas ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
with peripheral areas ... presenting as areas ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... #Pulmonary #HRCT ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
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 ... #Comparison #Table ... #RadiologyAssistant
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 ... Chronic #Fibrosis #RadiologyAssistant
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 ... low attenuation (emphysema ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
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 ... DesquamativeInterstitialPneumonia #ILD ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
to widespread areas ... the other hand, mild ... difficult to detect on HRCT ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant