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Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... interstitial opacities Nodule ... Nodule - Multiple ... #Clinical #Radiology ... #Patterns #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern ... #Differential #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential # ... Comparison #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... : reticular, nodular ... #Diagnosis #Radiology ... #Pulmonary #CXR ... RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Patterns - Differential ... Low Attenuation Nodular ... , Sarcoidosis, NSIP ... Differential #Diagnosis ... #pulmonary #radiology
Based on the images alone, it is usually not possible to determine the cause of the
findings. ... in fact this is nodular ... #Clinical #Diagnosis ... #Radiology #CXR ... #Causes #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
The differential ... centrilobular nodules ... density (acinar nodules ... #Clinical #Radiology ... #CTChest #GGO #
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
of nodules Previous ... with a benign pattern ... mm depends on clinical ... #Pulmonary #Nodules ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... (ground-glass, consolidation ... #Radiology #Pulmonary ... #HRCT #CTChest
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... a predominant finding ... Nodular or irregular ... #Diagnosis #Radiology ... #CTChest #Reticular