internship care acutepe radiologyassistant ctchest lam hypersensitivitypneumonitis fibrosis

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Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation

hypersensitivity pneumonitis are ... Fibrosis and parenchymal ... Radiology #CXR #CTChest ... #Pneumonitis #HypersensitivityPneumonitis ... #RadiologyAssistant

Sometimes the centrilobular opacities are more nodular in appearance as in this case. #Clinical #Radiology #CTChest

centrilobular opacities are ... appearance as in this case ... Clinical #Radiology #CTChest ... #Pneumonitis #HypersensitivityPneumonitis ... Centrilobular #RadiologyAssistant

On the left another typical case of sarcoidosis.
In addition to the perilymphatic nodules, there are multiple

another typical case ... nodules, there are ... sarcoidosis we will see fibrosis ... Clinical #Radiology #CTChest ... Peribronchovascular #Nodular #RadiologyAssistant

UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in

changes are typically ... Diagnosis #Radiology #CTChest ... Comparison #Chronic #HypersensitivityPneumonitis ... #Fibrosis #Mimic ... #ILD #RadiologyAssistant

Here another case of hypersensitivity pneumonitis.
There is a mosaic pattern.
Some secundary lobules demonstrate ground-glass opacity due

Here another case ... , while others are ... Clinical #Radiology #CTChest ... #Pneumonitis #HypersensitivityPneumonitis ... #GroundGlass #RadiologyAssistant

There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the

attached to the chest ... lymphangioleiomyomatosis (LAM ... LAM is a rare lung ... LAM also occurs ... #RadiologyAssistant

Here another case of subacute hypersensitivity pneumonitis.
There is subtle opacity in the centre of the secondary

Here another case ... Clinical #Radiology #CTChest ... #Pneumonitis #HypersensitivityPneumonitis ... Centrilobular #RadiologyAssistant

Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes

, as in cystic fibrosis ... In this case there ... are some mass-like ... Radiology #CXR #CTChest ... Mucus #Plugging #RadiologyAssistant

This patient presented with acute dyspnoe and a normal chest film (not shown).
The HRCT at presentation

presented with acute ... dyspnoe and a normal chest ... Clinical #Radiology #CTChest ... #Pneumonitis #HypersensitivityPneumonitis ... #Resolution #RadiologyAssistant

Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic

pneumonitis (2) The case ... Signs of fibrosis ... Clinical #Radiology #CTChest ... #Pneumonitis #HypersensitivityPneumonitis ... #Fibrosis #RadiologyAssistant

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