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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