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Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... the nodules are diffuse ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential
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
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
The histologic pattern ... There are areas ... and extensive areas ... #CTChest #AIP # ... AcuteInterstitialPneumonia #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
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... The dominant pattern ... there is a broad differential ... #Clinical #Radiology ... #CTChest #RBILD
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
to widespread areas ... Panlobular emphysema is diffuse ... the other hand, mild ... difficult to detect on HRCT ... #CTChest #Panlobular
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
radiographic findings are areas ... like idiopathic pulmonary ... disease in the differential ... #Clinical #Radiology ... #CTChest #DrugInduced