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radiology radiologyassistant ctchest diagnosis pulmonary clinical differential nodular centrilobular cxr diagram distribution highattenuation ild interpretation multiplenodules nodules perilymphatic septalthickening
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... low attenuation (table ... The cystic pattern ... pattern on a CXR ... 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
in the nodular pattern ... peribronchovascular interstitium ... #NodularPattern ... #Nodular #Pattern ... Perilymphatic #Comparison
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
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
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
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 ... : reticular nodular ... perilymphatic or random ... Interpretation #Algorithm
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... of reticular opacities ... differential diagnosis (Table ... Radiology #Pulmonary #HRCT ... #CTChest #Reticular
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