17 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
pneumonitis are: Mosaic pattern ... shows a mosaic pattern ... #Clinical #Radiology ... #CXR #CTChest # ... #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 ... or interstitial lung ... in ground glass pattern ... distribution: Hypersensitivity ... #Differential #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 ... mid and lower lung ... #Clinical #Radiology ... #RadiologyAssistant
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
a patient with long ... includes chronic hypersensitivity ... #Clinical #Radiology ... #CXR #Lateral # ... #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
, as in cystic fibrosis ... ABPA is a hypersensitivity ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... have specific patterns ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... or multifocal ill-defined ... #Diagnosis #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... particularly at the lung ... at the lung bases ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Differential diagnosis of Hypersensitivity ... Subacute stage: - RB-ILD ... In chronic HP fibrotic ... throughout the whole lung ... #Mimic #ILD #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
in chronic hypersensitivity ... or NSIP pattern ... consider drug-related lung ... #Clinical #Radiology ... #RadiologyAssistant