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radiology radiologyassistant differential lung clinical interstitial management pneumonia algorithm amiodarone boop consolidation contusion correlation cryptogenic diffuse idiopathic idiopathicinterstitialpneumonia induced interpretation
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... about imaging findings ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
listed in the table ... on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
- Imaging: • CXR ... consolidation and GG pattern ... , cavities • HRCT ... #BOOP #pulmonary ... #ILD #diagnosis
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
The table summarizes ... to look at the pattern ... more than one pattern ... called cryptogenic (COP ... #Pulmonary #CXR
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis. Notes: (A)
Figure 3 HRCT-LUS ... artifact); (G) UIP pattern ... #Clinical #Diagnosis ... #Correlation #Table ... #ILD #Findings
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 ... PCP would be on top ... Clinical #Radiology #CTChest
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 ... there additional findings ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... a predominant finding ... (Table). ... #Pulmonary #HRCT ... #CTChest #Reticular
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Characteristic finding ... Exclusion of other ILDs ... and confirmatory findings ... on HRCT is highly ... LDH • ↑ ESR, CRP
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
physical exam findings ... trauma are diagnosed ... x-ray (CXR), try ... radiograph pattern ... not seen on a CXR
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