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Here are the most common examples of these four patterns on a chest x-ray (click image
Interstitial - Reticular ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
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
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... , high and low attenuation ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... to confirm the diagnosis ... attributed to chronic ... #Clinical #Radiology ... #CXR #UIP #Reticular
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
dominant HR-pattern: reticular ... (ground-glass, consolidation ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... Chronic diseases ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Table #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
several month history ... dealing with the differential ... diagnosis of chronic ... #Clinical #Radiology ... #CXR #Peripheral
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
HP (right) Differential ... similar HRCT findings ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
or an area of consolidation ... without associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
there is a broad differential ... diagnosis and additional ... probably would be pulmonary ... #Clinical #Radiology ... #RadiologyAssistant