13 results
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity ... pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity ... Hypersensitivity ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Comparison #Table #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
The HRCT shows a ... hyperaerated secondary nodules ... and secondry nodules ... #Clinical #Radiology ... Chronic #Fibrosis #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... histiocytosis - Hypersensitivity ... Pulmonary edema #Diagnosis ... #HRCT #ChestCT ... #Upper #Lower #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #RadiologyAssistant
This patient presented with acute dyspnoe and a normal chest film (not shown).
The HRCT at presentation
(left) shows lobular ... areas of ground ... A control HRCT ten ... #Clinical #Radiology ... HypersensitivityPneumonitis #Resolution #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 ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
HR-pattern: reticular nodular ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
The differential diagnosis ... centrilobular nodules ... are confluent, HRCT ... #Clinical #Radiology ... HypersenstitivityPneumonitis #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
) Differential diagnosis ... of Hypersensitivity ... show very similar HRCT ... #Radiology #CTChest ... #RadiologyAssistant