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radiology radiologyassistant clinical comparison hrct pulmonary diagnosis nodular cxr differential interstitial lowattenuation findings fleischner followup histiocytosis idiopathic idiopathicinterstitialpneumonia interpretation langerhanscellhistiocytosis
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 most common pattern ... The cystic pattern ... When the cysts have
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... Radiology #HRCT #CTChest ... #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... (LAM): regular cysts ... Radiology #HRCT #CTChest ... #Pattern #Comparison ... #Table #RadiologyAssistant
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... early nodular stage ... before the typical cysts ... #Nodular #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 ... early nodular stage ... before the typical cysts ... #Nodular #Pattern ... Differential #Comparison #Table
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... Radiology #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
listed in the table ... have specific patterns ... realise, that these patterns ... Radiology #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis. The
film of a 19 year old ... is a reticular patern ... recognized that this pattern ... caused by multiple cysts ... This is late stage
Basic Interpretation A structured approach to interpretation of HRCT involves the following questions: What is the dominant HR-pattern: reticular nodular high
the dominant HR-pattern ... attenuation (emphysema, cystic ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Fleischner Society recommendations for follow-up of nodules Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... with a benign pattern ... Management of indeterminate ... #Management #Radiology ... #CTChest #Fleischner
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