22 results
This patient presented with acute dyspnoe and a normal chest film (not shown).
The HRCT at presentation
shows lobular areas ... A control HRCT ten ... Clinical #Radiology #CTChest ... #Pneumonitis #HypersensitivityPneumonitis ... #Resolution #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
atenuation and areas ... The HRCT shows a ... Radiology #CXR #CTChest ... #Pneumonitis #HypersensitivityPneumonitis ... Chronic #Fibrosis #RadiologyAssistant
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... the well defined areas ... Clinical #Radiology #CTChest ... RBILD #Comparison #HypersensitivityPneumonitis ... #ILD #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
with peripheral areas ... presenting as areas ... Clinical #Radiology #HRCT ... #CTChest #HighAttenuation ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
low attenuation areas ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... Comparison #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... Radiology #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
low attenuation areas ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... Comparison #Table #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... Radiology #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential ... #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
The differential ... are confluent, HRCT ... Clinical #Radiology #CTChest ... MosaicAttenuation #Mosaic #HypersenstitivityPneumonitis ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... show very similar HRCT ... Diagnosis #Radiology #CTChest ... Comparison #Chronic #HypersensitivityPneumonitis ... Fibrosis #Mimic #ILD #RadiologyAssistant