9 results
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... : ill defined centrilobular ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... specific interstitial pneumonitis ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... Pulmonary edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #Differential #Comparison ... #Table #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
) Differential diagnosis ... Hypersensitivity Pneumonitis ... show very similar HRCT ... #Radiology #CTChest ... #UIP #Comparison
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 ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... The dominant pattern ... broad differential diagnosis ... hypersensitivity pneumonitis ... #Clinical #Radiology
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
named Hamman Rich Pneumonitis ... The histologic pattern ... suggestive of the diagnosis ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD