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radiology radiologyassistant clinical diagnosis pulmonary comparison differential ild cystic pneumonia reticular acuteinterstitialpneumonia aip boop cop cryptogenic cxr findings groundglass groundglassopacity
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... low attenuation (table ... the most common pattern ... The cystic pattern ... pattern can be
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... 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
Low Attenuation pattern ... 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 (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... Clinical #Radiology #HRCT ... #CTChest #HighAttenuation ... #Pattern #Comparison
Ground-glass opacity Ground-glass opacity (GGO) represents: - Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Ground-glass opacity (GGO ... Thickening of the interstitium ... resolution of the HRCT ... in ground glass pattern ... Radiology #Pulmonary #CTChest
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
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... peribronchovascular interstitium ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution. Some lobules are involved
with ground glass pattern ... are confluent, HRCT ... shows diffuse ground ... Clinical #Radiology #CTChest ... #GGO #MosaicAttenuation
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
BOOP • Type of interstitial ... pattern, irregular ... , cavities • HRCT ... lower lung zone, GGO ... Pulmonary lymphoma, Diffuse
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