23 results
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... histiocytosis - Hypersensitivity ... is seen in: - UIP ... #Pulmonary #HRCT ... #Upper #Lower #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity ... pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
pneumonitis; HRCT ... computed tomography; UIP ... #hypersensitivity ... pulmonary #diagnosis #algorithm ... #HP #ILD
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
Mosaic pattern with areas ... atenuation and areas ... The HRCT shows a ... #Clinical #Radiology ... Chronic #Fibrosis #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... UIP Honeycombing ... #CTChest #UIP # ... #Pneumonitis #ILD ... #RadiologyAssistant
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... the right has hypersensitivity ... the well defined areas ... #Clinical #Radiology ... #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 ... show very similar HRCT ... Fibrosis #Mimic #ILD ... #RadiologyAssistant
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
the pattern of UIP ... on HRCT. ... #Clinical #Radiology ... #Pneumonitis #ILD ... #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... predominance: UIP ... distribution: Hypersensitivity ... bronchiolitis #Diagnosis #Radiology ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... vascular diseases (e.g ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant