11 results
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
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
perilymphatic, random and centrilobular ... distribution is likely centrilobular ... bronchovascular interstitium ... #Diagnosis #Radiology ... #Pulmonary #HRCT
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... making an accurate diagnosis ... in the nodular pattern ... peribronchovascular interstitium ... #Pulmonary #HRCT
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
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
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
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 edema ... #Pulmonary #HRCT
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... in HRCT, smooth ... peribronchovascular interstitium ... #Comparison #Table
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 ... secondary lobule (centrilobular ... there additional findings ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary