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radiology radiologyassistant ctchest clinical diagnosis pattern pulmonary comparison differential interstitial nodular cxr cystic findings highattenuation lowattenuation pneumonia reticular acuteinterstitialpneumonia aip
Asthma Chronic lung disease characterized by airway inflammation, airway and variable expiratory air flow obstruction There are 2
obstruction: • FEV1 ... 0.70 or lower • FEV1 ... : • > 70% - mild ... Reversibility on spirometry ... or greater in FEV
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis on HRCT ... disease comes from HRCT ... On HRCT there are ... four patterns: ... low attenuation (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 ... Clinical #Radiology #HRCT ... CTChest #Nodular #Pattern ... #Comparison #Table
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
bronchiolitis (RB-ILD ... Radiology #Pulmonary #HRCT ... #Differential #Table
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... Clinical #Radiology #HRCT ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... 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 ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #Table
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
High Attenuation pattern ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #Table
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... Clinical #Radiology #HRCT ... LowAttenuation #Cystic #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 ... morphologic findings on HRCT ... realise, that these patterns ... IdiopathicInterstitialPneumonia #ILD
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