9 results
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
#Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison ... #SignetRing #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... To differentiate ... without associated pulmonary ... emphysema. ... #Comparison #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
to widespread areas ... Pulmonary vessels ... the other hand, mild ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Subacute stage: - RB-ILD ... centrilobular emphysema ... #CTChest #UIP #Comparison ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
low attenuation (emphysema ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
are paraseptal emphysema ... there is a broad differential ... probably would be pulmonary ... #Clinical #Radiology ... #RadiologyAssistant
When a rib fracture heals, the callus formation may create a mass-like appearance (blue arrow).
Sometimes a
formation may create ... is necessary to differentiate ... #Clinical #Radiology ... #CXR #Old #RibFracture ... #Pseudotumor #RadiologyAssistant