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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... low attenuation (table ... The ground-glass ... pattern can be ... seen and in many cases
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... - Reticular interstitial ... Nodule - Multiple Masses ... Consolidation #Patterns
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... Radiology #HRCT #CTChest ... HighAttenuation #Pattern ... #Comparison #Table
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... peribronchovascular interstitium ... Radiology #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Diagnosis Framework Reticular ... Lymphangitic Carcinoma, Interstitial ... #CT #Patterns #
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern or a cystic ... pattern. ... pattern. ... Radiology #CXR #CTChest ... #Cystic #Interstitial
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... pattern particularly ... pattern at the ... This pattern was ... #Interstitial #
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... of reticular opacities ... differential diagnosis (Table ... Pulmonary #HRCT #CTChest ... #Reticular #SeptalThickening
Key findings in alveolar proteinosis
- Crazy paving pattern: reticular pattern superimposed on ground glass opacification.
- Opacifications
- Crazy paving pattern ... : reticular pattern ... range from ground glass ... transported to the interstitium ... Clinical #Radiology #CTChest
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 ... attenuation (ground-glass ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm