14 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Emphysema - Lung cysts ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #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 ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Comparison #Table #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
There is a lung cyst ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the differential diagnosis ... associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison #RadiologyAssistant
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 ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... Algorithm #ILD #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
is a reticular patern ... caused by multiple cysts ... challenging differential diagnosis ... #Clinical #Radiology ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... of pulmonary fibrosis ... to confirm the diagnosis ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
Lymphangioleiomyomatosis- Computed tomography of the chest, reconstructed in the coronal plane at the level of the
intraparenchymal pulmonary ... confirmed the diagnosis ... #clinical #Lymphangioleiomyomatosis ... #LAM #radiology ... wedge #biopsy #NEJM