13 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... four patterns: ... low attenuation (table ... The cystic pattern ... pattern can be
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... peribronchovascular interstitium ... #NodularPattern ... #Nodular #Pattern
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Miliary TB: random ... Clinical #Radiology #HRCT ... CTChest #Nodular #Pattern ... #Comparison #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... listed in the table ... have specific patterns ... on HRCT and histology ... realise, that these patterns
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 ... HighAttenuation #Pattern ... #Comparison #Table
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Miliary TB: random ... CTChest #Nodular #Pattern ... #NodularPattern ... Differential #Comparison #Table
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
x-ray shows subtle findings ... In many cases a HRCT ... The HRCT - not shown ... Sarcoidosis #Nodular #Interstitial ... #Pattern #RadiologyAssistant
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 ... perilymphatic or random ... there additional findings ... Interpretation #Algorithm
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... peribronchovascular interstitium ... CTChest #Reticular #Pattern ... #Comparison #Table