14 results
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... #HRCT #ChestCT ... #Upper #Lower #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
These include: - Emphysema ... on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... #SignetRing #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... low attenuation areas ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... low attenuation areas ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... Comparison #Table #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
to widespread areas ... the other hand, mild ... difficult to detect on HRCT ... Clinical #Radiology #CTChest ... PanlobularEmphysema #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
low attenuation (emphysema ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm #ILD ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... are paraseptal emphysema ... interpretion of the HRCT ... Clinical #Radiology #CTChest ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Subacute stage: - RB-ILD ... centrilobular emphysema ... show very similar HRCT ... Diagnosis #Radiology #CTChest ... #RadiologyAssistant
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... smoker with RB-ILD ... the well defined areas ... Clinical #Radiology #CTChest ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #Idiopathic ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant