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    Lung - HRCT Basic Interpretatio N

    Uploaded by

    Harsha Vijaykumar
    This document provides a summary of common patterns seen on HRCT of the lungs including secondary lobule, reticular, nodular, tree-in-bud, random distribution, ground-glass opacity, mosaic attenuation, crazy paving, consolidation, low attenuation, and cystic lung disease patterns. Each pattern is associated with specific pulmonary diseases or conditions such as interstitial lung disease, infection, malignancy, and fibrosis. The patterns reflect abnormalities in the lung parenchyma and airways that can help narrow the differential diagnosis in pulmonary disease.

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    Lung - HRCT Basic Interpretatio N

    Uploaded by

    Harsha Vijaykumar
    236 views19 pages
    This document provides a summary of common patterns seen on HRCT of the lungs including secondary lobule, reticular, nodular, tree-in-bud, random distribution, ground-glass opacity, mosaic attenuation, crazy paving, consolidation, low attenuation, and cystic lung disease patterns. Each pattern is associated with specific pulmonary diseases or conditions such as interstitial lung disease, infection, malignancy, and fibrosis. The patterns reflect abnormalities in the lung parenchyma and airways that can help narrow the differential diagnosis in pulmonary disease.

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    HRCT

    Original Title

    HRCT

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    This document provides a summary of common patterns seen on HRCT of the lungs including secondary lobule, reticular, nodular, tree-in-bud, random distribution, ground-glass opacity, mosaic attenuation, crazy paving, consolidation, low attenuation, and cystic lung disease patterns. Each pattern is associated with specific pulmonary diseases or conditions such as interstitial lung disease, infection, malignancy, and fibrosis. The patterns reflect abnormalities in the lung parenchyma and airways that can help narrow the differential diagnosis in pulmonary disease.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    236 views19 pages

    Lung - HRCT Basic Interpretatio N

    Uploaded by

    Harsha Vijaykumar
    This document provides a summary of common patterns seen on HRCT of the lungs including secondary lobule, reticular, nodular, tree-in-bud, random distribution, ground-glass opacity, mosaic attenuation, crazy paving, consolidation, low attenuation, and cystic lung disease patterns. Each pattern is associated with specific pulmonary diseases or conditions such as interstitial lung disease, infection, malignancy, and fibrosis. The patterns reflect abnormalities in the lung parenchyma and airways that can help narrow the differential diagnosis in pulmonary disease.

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    © All Rights Reserved
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    Lung HRCT

    Basic
    Interpretatio
    n
    SECONDARY LOBULE
    RETICULAR PATTERN
    -
    Septal thickening.
    Smooth septal thickening

    Interstitial pulmonary edema

    lymphangitic spread of
    carcinomaor lymphoma
    Nodular or irregular
    septal thickening

    lymphangitic spread of
    carcinoma or lymphoma;

    sarcoidosis

    silicosis.
    Focal septal thickening in
    lymphangitic carcinomatosis
    NODULAR PATTERN
    !RIL"#H$TIC %&'(L!S
    Sarcoidosis ) Silicosis
    Coal*+orker,s pneumoconiosis
    C!%TRIL&B(L$R %&'(L!S
    Hypersensiti-ity pneumonitis
    Respiratory .ronchiolitis in
    smokers
    infectious air+ays diseases
    /endo.ronchial spread of TB
    or nontu.erculous
    myco.acteria)
    .ronchopneumonia0
    R$%'&# %&'(L!S
    Hematogenous metastases
    #iliary tu.erculosis
    #iliary fungal infections
    PERILYMPHATIC NODULE
    Sarcoidosis
    CENTRILOBULAR NODULES

    Ill defned centrilobular nodules of


    ground glass density in a patient with
    hypersensitivity pneumonitis
    Tree*in*.ud

    irregular and o!en nodular "ranc#ing s!ruc!ure


    I! re$resen!s dila!ed and i%$ac!ed &%ucus or $us-'lled(
    cen!rilo"ular "ronc#ioles)

    Infection &TB* MAC* an+ "ac!erial "ronc#o$neu%onia(

    $ir+ay disease associated +ith infection &c+s!ic


    '"rosis* "ronc#iec!asis(
    Rare - allergic "ronc#o$ul%onar+ as$ergillosis* as!#%a)
    RANDOM DISTRIBUTION

    Random distribution of nodules in miliary


    tuberculosis
    Hig# A!!enua!ion Pa!!ern

    ,round-glass-o$aci!+ &,,O( i !#ere is a


    #a-+ increase in lung o$aci!+ .i!#ou!
    o"scura!ion o underl+ing /essels)

    Consolida!ion i !#e increase in lung


    o$aci!+ o"scures !#e /essels)

    U$$er -one $redo%inance0 Res$ira!or+


    "ronc#ioli!is* PCP)

    Lo.er -one $redo%inance0 UIP* NSIP* DIP)

    Cen!rilo"ular dis!ri"u!ion0 H+$ersensi!i/i!+


    $neu%oni!is* Res$ira!or+ "ronc#ioli!is
    Broncho-alveolar cell carcinoma with ground-glass opacity and
    consolidation
    Mosaic a!!enua!ion
    As!#%a
    Pul%onar+ E%"olis%
    H+$ersensi!i/i!+ Pneu%oni!is)
    Mosaic pattern in a patient with hypersensitivity
    pneumonitis
    Cra1y a-ing pattern
    Al/eolar $ro!einosis 1 Sarcoid 1 NSIP 1
    Organi-ing $neu%onia &COP2BOOP( 1
    Inec!ion &PCP* /iral* M+co$las%a*
    "ac!erial( 1 Neo$las% 1 Pul%onar+
    #e%orr#age 1 Ede%a &#ear! ailure* ARDS*(
    CONSOLIDATION

    $cute consolidation

    Pneu%onias &"ac!erial*
    %+co$las%a* PCP(

    Pul%onar+ ede%a due !o


    #ear! ailure or ARDS

    He%orr#age

    Acu!e eosino$#ilic $neu%onia

    Chronic consolidation

    Organi-ing Pneu%onia

    C#ronic eosino$#ilic
    $neu%onia

    3i"rosis in UIP and NSIP

    Bronc#oal/eolar carcino%a or
    l+%$#o%a
    Lo+ $ttenuation pattern

    a"nor%ali!ies !#a! resul! in decreased lung


    a!!enua!ion or air-'lled lesions) T#ese include0

    E%$#+se%a

    Lung c+s!s

    Bronc#iec!asis

    Hone+co%"ing
    !mphysema

    $resen!s as areas o lo. a!!enua!ion .i!#ou! /isi"le


    .alls as a resul! o $arenc#+%al des!ruc!ion)

    Centrilo.ular emphysema

    anlo.ular emphysema

    araseptal emphysema
    Cystic lung disease

    Lung c+s!s are de'ned as radiolucen! areas


    .i!# a .all !#ic4ness o less !#an 5%%)

    Langerhans cell histiocytosis

    Lymphocytic interstitial pneumonia

    Lymphangiomyomatosis
    Bronc#iec!asis
    Honeycom.ing

    Usual In!ers!i!ial
    Pneu%onia &UIP()

    Idio$a!#ic
    $ul%onar+
    '"rosis &IP3(

    c+!o!o6ic
    c#e%o!#era$eu!i
    c agen!s 7
    "leo%+cin*
    "usulan*
    /incris!ine*
    %e!#o!re6a!e

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