15 results
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... Lymphangiomyomatosis (LAM ... #Clinical #Radiology ... #HRCT #CTChest ... #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... Centrilobular emphysema ... #Clinical #Radiology ... #HRCT #CTChest ... #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
(LAM, LIP, Langerhans ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Diagram
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
The cystic pattern ... When the cysts have ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Comparison #Diagram ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
perilymphatic, random and centrilobular ... distribution is likely centrilobular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Differential #Algorithm #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... before the typical cysts ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... Comparison #Table #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
or a cystic pattern ... The CXR is of a ... of such cases a HRCT ... #Clinical #Radiology ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
There is a lung cyst ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... attenuation (emphysema, cystic ... secondary lobule (centrilobular ... #Pulmonary #HRCT ... Algorithm #ILD #RadiologyAssistant