12 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... peribronchovascular interstitium ... Centrilobular distribution ... #Pulmonary #HRCT
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
perilymphatic, random and centrilobular ... is likely centrilobular ... bronchovascular interstitium ... #Diagnosis #Radiology ... #Pulmonary #HRCT
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
related diseases (centrilobular ... edema #Diagnosis ... #HRCT #ChestCT ... #Differential #Table ... #Distribution #
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... , NSIP, DIP. - Centrilobular ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... perilymphatic distribution ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Differential #Comparison #Table
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... A HRCT is needed ... to confirm the diagnosis ... HRCT demonstrated ... UIP #Reticular #Interstitial
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 ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... and perihilar distribution ... peribronchovascular interstitium ... #Comparison #Table
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Imaging: • CXR ... : Peripheral distribution ... consolidation and GG pattern ... , cavities • HRCT ... #ILD #diagnosis