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How read chest ct 1
1.
HOW READ CHEST
CT -1 ANAS SAHLE ,MD
2.
Basic elements
Appearance pattern Distribution Patient data pattern Ct interpretation
3.
Appearance pattern Increased
Decreased Nodular Linear lung lung opacities opacities attenuation attenuation
4.
Increased lung attenuation
Ground-glass opacity Consolidation
5.
Decreased lung attenuation
Hypo-perfusion Air-trapping Cyctic,cyct-like lesions Pulmonary emphysema
6.
Nodular pattern
Size Appearance Attenuation Distribution
7.
Linear pattern When the
interstitium is thickened? When lymphatics are involved? When blood vessels, airways are involved? When lung atelectasis or fibrosis occurs?
8.
Distribution pattern Upper
Lower Diffuse Central peripheral lung lung
9.
Upper
Lower Diffuse lung lung LCH Oedema Hyper-sensitivity pneumonitis Sarcoidosis UIP Silicosis NSIP LAM Pneumocoiosis DIP Tuberculosis COP Diffuse pneumonia Respiratory bronchiolitis Asbestosis Cystic fibrosis Lipoid pneumonia Metastses Chronic eosinophylic Metastses pneumonia Centilobular emphysema Alveolar hemorrhage Sarcoidosis Paraseptal emphysema Panlobular emphysema
10.
Central
peripheral UIP Sarcoidosis NSIP DIP Silicosis AIP PE COP Lymphangitic spread of tumors Asbestosis Chronic eosinophylic pneumonia Alveolar protenosis Hyper-sesitivity pneumonitis Septic emboli Metastses Large airway disease Small airway disease