12 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
pneumonitis are: Mosaic pattern ... in a mid zone distribution ... shows a mosaic pattern ... #Clinical #Radiology ... #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation pattern ... end-stage with massive fibrosis ... consolidation #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... perilymphatic distribution ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... perilymphatic distribution ... NodularPattern #Differential ... #Comparison #Table ... #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 ... strong lower zone distribution ... #CTChest #UIP #Comparison ... #Mimic #ILD #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
HRCT as seen in fibrosis ... in ground glass pattern ... Centrilobular distribution ... #GroundGlass #Differential ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... of distribution ... more than one pattern ... #Diagnosis #Radiology ... #Table #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
shows diffuse areas ... and some mosaic pattern ... abnormalities and signs of fibrosis ... DesquamativeInterstitialPneumonia #ILD ... #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
radiographic findings are areas ... or NSIP pattern ... disease in the differential ... #Clinical #Radiology ... #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
scan: the mosaic pattern ... Signs of fibrosis ... included in the differential ... #Clinical #Radiology ... #RadiologyAssistant