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Lung - HRCT Basic Interpretatio N

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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Harsha Vijaykumar
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800 views19 pages

Lung - HRCT Basic Interpretatio N

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.

Uploaded by

Harsha Vijaykumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
  • Introduction to HRCT
  • Basic Interpretation of HRCT
  • Reticular Pattern
  • Nodular Pattern
  • Tree-in-bud Pattern
  • Random Distribution
  • High Attenuation Pattern
  • Mosaic Attenuation
  • Crazy Paving Pattern
  • Consolidation
  • Low Attenuation Pattern
  • Emphysema
  • Cystic Lung Disease
  • Bronchiectasis
  • Honeycombing

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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