9 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Upper #Lower #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
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... seen and in many cases ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
left a typical case ... to widespread areas ... difficult to detect on HRCT ... #Clinical #Radiology ... PanlobularEmphysema #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 ... low attenuation (emphysema ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
pneumatocele, emphysema ... since in many cases ... #CXR #Lucency #Differential ... Cavity #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
RB-ILD with subtle HRCT-findings ... are paraseptal emphysema ... there is a broad differential ... #Clinical #Radiology ... RespiratoryBronchiolitis #ILD #RadiologyAssistant
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
regardless of their cause ... from paraseptal emphysema ... #Pulmonary #Honeycombing ... #Differential # ... RadiologyAssistant