10 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
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 ... Cystic #Pattern #Comparison
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 ... Cystic #Pattern #Comparison
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
to widespread areas ... Pulmonary vessels ... difficult to detect on HRCT ... #Clinical #Radiology ... #CTChest #Panlobular
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 ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Interpretation ... #Algorithm #ILD
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
pneumatocele, emphysema ... we describe a chest ... #CXR #Lucency #Differential ... Cavity #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
without associated pulmonary ... emphysema. ... Clinical #Diagnosis #Radiology ... #CTChest #Cavity ... #Comparison #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... show very similar HRCT ... #CTChest #UIP # ... Comparison #Chronic
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
RB-ILD with subtle HRCT-findings ... are paraseptal emphysema ... there is a broad differential ... #Clinical #Radiology ... #CTChest #RBILD