10 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... , high and low attenuation ... (table). ... The cystic pattern ... seen and in many cases
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
pattern 1. ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... #Cystic #Pattern ... #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
pattern (2) 1. ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... #Cystic #Pattern ... #Comparison #Table
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation ... pattern (2) 1. ... Clinical #Radiology #HRCT ... #CTChest #HighAttenuation ... #Pattern #Comparison
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation ... pattern 1. ... Clinical #Radiology #HRCT ... #CTChest #HighAttenuation ... #Pattern #Comparison
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... #CTChest #NodularPattern ... #Nodular #Pattern
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... : ground glass attenuation ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... consolidation) low attenuation ... #CTChest #Interpretation ... #Algorithm #ILD
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
characterized by diffuse ... The histologic pattern ... aswell as the HRCT ... are diffuse or ... Clinical #Radiology #CTChest