15 results
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... typically present as multifocal ... #Diagnosis #Radiology ... Lobar #Diffuse #Multifocal ... Table #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... smoker with RB-ILD ... the well defined areas ... #Clinical #Radiology ... #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
larger ones are ill-defined ... are dealing with multifocal ... dealing with the differential ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
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 ... smoking #Clinical #Radiology ... DesquamativeInterstitialPneumonia #ILD ... #RadiologyAssistant
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 ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
Multifocal Multifocal ... ill-defined opacities ... #Diagnosis #Radiology ... Consolidation #Differential ... #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
HRCT findings in ... restricted to areas ... #Clinical #Radiology ... Organizing #Pneumonia #ILD ... #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 ... show very similar HRCT ... Fibrosis #Mimic #ILD ... #RadiologyAssistant