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ctchest clinical diagnosis pulmonary comparison cxr hypersensitivitypneumonitis respiratorybronchiolitis algorithm chestct chronic cystic cysts diagram distribution fibrosis histiocytosis honeycombing interpretation interstitial
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
These include: - Emphysema ... on the basis of HRCT ... #Diagnosis #Radiology ... LowAttenuation #Differential ... #SignetRing #RadiologyAssistant
On the left a patient with RB-ILD. The dominant feature is ground glass opacification and there are
patient with RB-ILD ... centrilobular emphysema ... #Clinical #Radiology ... #CTChest #RBILD ... #RadiologyAssistant
On the left two different patients with similarl HRCT findings. The left one is a smoker with
with similarl HRCT ... smoker with RB-ILD ... #Clinical #Radiology ... #CTChest #RBILD ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings. The dominant pattern is ground glass opacification. Additional
are paraseptal emphysema ... there is a broad differential ... #Clinical #Radiology ... #CTChest #RBILD ... #RadiologyAssistant
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... appreciate on a cest ... #Diagnosis #Radiology ... Interstitial #Pattern #Differential ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right) Differential diagnosis of Hypersensitivity Pneumonitis. Subacute stage: - RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... show very similar HRCT ... Clinical #Diagnosis #Radiology ... #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 ... low attenuation (emphysema ... bronchiectasis) #Diagnosis #Radiology ... Interpretation #Algorithm #ILD ... #RadiologyAssistant
On the left a typical case of panlobular emphysema. There is uniform destruction of the underlying architecture
of panlobular emphysema ... the other hand, mild ... difficult to detect on HRCT ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis. The
film of a 19 year old ... most challenging differential ... helpfull in the differential ... #Clinical #Radiology ... Histiocytosis #Cystic #RadiologyAssistant
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