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radiology radiologyassistant clinical ctchest hrct diagnosis differential pulmonary cxr cystic nodular lowattenuation nodularpattern centrilobular classification clinicopathology diagram distribution highattenuation honeycombing
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... low attenuation (table ... The cystic pattern ... interstitial pattern ... many cases UIP
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... perihilar and in ... HighAttenuation #Pattern ... #Comparison #Table
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... in woman of child-bearing ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... centrilobular artery in ... (LAM): regular cysts ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... TB: Tree-in-bud ... before the typical cysts ... CTChest #Nodular #Pattern ... #Comparison #Table
UIP UIP is a histologic pattern of pulmonary fibrosis. On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... In many cases you ... pattern at the ... This pattern was ... #Interstitial #
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
pattern or a cystic ... pattern. ... pattern. ... cases a HRCT will ... CTChest #Cystic #Interstitial
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... incidental finding in ... peribronchovascular interstitium ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
with a nodular pattern ... before the typical cysts ... CTChest #Nodular #Pattern ... #Differential #Comparison ... #Table #RadiologyAssistant
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung interstitium ... a pattern of reticular ... differential diagnosis (Table ... interstitial pulmonary ... HRCT #CTChest #Reticular
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