26 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... there are four patterns ... low attenuation (table ... a CXR the most common ... Diagnosis #Radiology #Pulmonary
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation pattern ... with peripheral areas ... Radiology #HRCT #CTChest ... HighAttenuation #Pattern ... #Comparison #Table
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... low attenuation areas ... Radiology #HRCT #CTChest ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... low attenuation areas ... Radiology #HRCT #CTChest ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... low attenuation pattern ... #CTChest #LowAttenuation ... #Differential # ... Diagram #Comparison
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #CTChest #Nodular ... #Pattern #NodularPattern ... #Differential # ... Comparison #Table
Hilar and mediastinal lymphadenopathy
In sarcoidosis the common pattern is right paratracheal and bilateral hilar adenopathy ('1-2-3-sign').
In
sarcoidosis the common ... pattern is right ... adenopathy ('1-2-3-sign ... Diagnosis #Radiology #Pulmonary ... Lymphadenopathy #Differential
Inflammatory Myopathies
Dermatomyositis
 • Onset: Subacute
 • Pattern: Proximal
 • CK: Up to 50X ULN
 • Autoantibodies:
: Subacute • Pattern ... heliotrope, shawl sign ... : Subacute • Pattern ... or subacute • Pattern ... Insidious/slow • Pattern
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
nodules are most commonly ... the overlap in differential ... the reticular pattern ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest
Pemphigus Vulgaris vs Bullous Pemphigoid - Comparison Table
Pemphigus Vulgaris
 • Epidemiology: Average age 40-60
 • Time
Bullous Pemphigoid - Comparison ... Table Pemphigus ... Mucosal involvement: Common ... ruptured • Nikolsky sign ... of tombstone" pattern