11 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
Mosaic pattern with areas ... atenuation and areas ... The HRCT shows a ... #Clinical #Radiology ... Chronic #Fibrosis #RadiologyAssistant
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 ... HypersensitivityPneumonitis #Resolution #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
HRCT findings in ... restricted to areas ... carcinoma, the diagnosis ... #Clinical #Radiology ... Pneumonia #ILD #RadiologyAssistant
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... the right has hypersensitivity ... the well defined areas ... #Clinical #Radiology ... HypersensitivityPneumonitis #ILD #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
The differential diagnosis ... Hypersensitivity ... are confluent, HRCT ... #Clinical #Radiology ... HypersenstitivityPneumonitis #RadiologyAssistant
On the left two cases with chronic consolidation. 
There are patchy non-segmental consolidations in a subpleural
The final diagnosis ... pneumonia the HRCT ... look like this #Clinical ... #Radiology #CTChest ... OrganizingPneumonia #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
of Hypersensitivity ... show very similar HRCT ... #Clinical #Diagnosis ... #Radiology #CTChest ... Fibrosis #Mimic #ILD #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
broad differential diagnosis ... PCP would be on top ... would first think hypersensitivity ... #Clinical #Radiology ... RespiratoryBronchiolitis #ILD #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
Chronic hypersensitivity ... left suggest the diagnosis ... the differential diagnosis ... #Clinical #Radiology ... HypersensitivityPneumonitis #Fibrosis #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
aswell as the HRCT ... The HRCT characteristics ... suggestive of the diagnosis ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD #RadiologyAssistant