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radiology radiologyassistant clinical comparison diagnosis pulmonary differential ild cystic highattenuation lowattenuation reticular acuteinterstitialpneumonia aip cxr findings honeycombing idiopathic idiopathicinterstitialpneumonia interpretation
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 ... pattern can be
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation ... pattern (2) 1. ... Non specific interstitial ... Clinical #Radiology #HRCT ... #Pattern #Comparison
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
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
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
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
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... Radiology #Pulmonary #CTChest
Honeycombing represents the second reticular pattern recognizable on HRCT. Because of the cystic appearance, honeycombing is also
second reticular pattern ... recognizable on HRCT ... discussing the low attenuation ... pattern. ... Clinical #Radiology #CTChest
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
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