Diagnostic Radiology/Chest Imaging/Interstitial Disease

1. List and identify on a chest radiograph and chest CT four patterns of interstitial lung disease (ILD)
2. Make a specific diagnosis of ILD when supportive findings are present in the history or on radiologic imaging (e.g. dilated esophagus and ILD in scleroderma, enlarged heart and a pacemaker or defibrillator in a patient with prior sternotomy and ILD suggesting amiodarone drug toxicity)
3. Identify Kerley A and B lines on a chest radiograph and explain their etiology
4. Recognize the changes of congestive heart failure on a chest radiograph - enlarged cardiac silhouette, pleural effusions, vascular redistribution, interstitial and/or alveolar edema, Kerley lines
5. Define the terms ìasbestos-related pleural diseaseî and ìasbestosis;î identify each on a chest radiograph and chest CT
6. Describe what a "B" reader is as related to the evaluation of pneumoconiosis
7. Identify honeycombing on a radiograph and high resolution chest CT (HRCT), state the significance of this finding (end-stage lung disease), and list the common causes of honeycomb lung
8. State the radiographic classification of sarcoidosis
9. Recognize progressive massive fibrosis/conglomerate masses secondary to silicosis or coal worker's pneumoconiosis on radiography and chest CT
10. Recognize the typical appearance of irregular lung cysts and/or nodules on chest CT of a patient with Langerhanís cell histiocytosis
11. List four causes of unilateral ILD
12. List three causes of lower lobe predominant ILD
13. List two causes of upper lobe predominant ILD
14. Identify a secondary pulmonary lobule on HRCT
15. Identify lymphangioleiomyomatosis on a chest radiograph and HRCT
16. Identify and give appropriate differential diagnoses when the patterns of septal thickening, perilymphatic nodules, bronchiolar opacities ("tree-in-bud"), air trapping, cysts, and ground glass opacities are seen on HRCT