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radiology radiologyassistant ctchest diagnosis clinical comparison cystic lowattenuation cxr diffuse findings interstitial lung nodular nodularpattern acuteinterstitialpneumonia aip cardiomyopathy chestct consolidation
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... four patterns: ... low attenuation (table ... in many cases UIP ... #Pulmonary #CXR
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
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... low attenuation areas ... #HRCT #CTChest ... LowAttenuation #Cystic #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 ... LowAttenuation #Differential
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... low attenuation areas ... #HRCT #CTChest ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
bronchiolitis (RB-ILD ... is seen in: - UIP ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... #Pulmonary #CTChest
On the left a patient with DIP. The HRCT shows diffuse areas of ground-glass density in the
a patient with DIP ... The HRCT shows diffuse ... areas of ground-glass ... and some mosaic pattern ... DesquamativeInterstitialPneumonia #ILD
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
pattern The algorithm ... are visible, the pattern ... #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern ... MultipleNodules #Nodules #Differential
Ground-glass opacity Ground-glass opacity (GGO) represents: - Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... , NSIP, DIP. - Centrilobular ... #Pulmonary #CTChest ... #GroundGlass #Differential
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