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 ... and areas of low ... attenuation. ... #Clinical #Radiology ... #Fibrosis #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation ... Chronic eosinophilic ... Chronic eosinophilic ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation ... areas without walls ... #Clinical #Radiology ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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decreased lung attenuation ... #Diagnosis #Radiology ... LowAttenuation #Differential ... #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation ... areas without walls ... #Clinical #Radiology ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Mosaic attenuation
The term 'mosaic attenuation' is used to describe density differences between affected and non-affected lung
There are patchy areas ... oligemic lung due to chronic ... disease #Diagnosis #Radiology ... #Differential # ... RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
Chronic hypersensitivity ... attenuation, that ... included in the differential ... #Clinical #Radiology ... HypersensitivityPneumonitis #Fibrosis #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... with ground glass attenuation ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
HP (right) Differential ... Chronic stage: - ... Clinical #Diagnosis #Radiology ... #CTChest #UIP #Comparison ... Fibrosis #Mimic #ILD #RadiologyAssistant
It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
-
bronchiolitis or chronic ... penicillamine) #Clinical #Radiology ... MosaicAttenuation #Mosaic #Attenuation ... #Comparison #RadiologyAssistant