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Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... Nodule or mass ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
bronchovascular interstitium ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern
The distribution of nodules shown on HRCT is the most important factor in making an accurate
Nodules are randomly ... #Diagnosis #Radiology ... #NodularPattern ... #Nodular #Pattern ... Perilymphatic #Comparison
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Miliary TB: random ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Pattern #NodularPattern
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation ... Non specific interstitial ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... reticular, nodular ... , high and low attenuation ... #Diagnosis #Radiology ... #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Low Attenuation Nodular ... : • Random: Metastases ... #CT #Patterns # ... #pulmonary #radiology
Based on the images alone, it is usually not possible to determine the cause of the
oxygen level and high ... in fact this is nodular ... interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR
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 ... high attenuation ... #Radiology #Pulmonary ... #HRCT #CTChest