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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 ... : reticular, nodular ... low attenuation (table ... is reticular. ... presents as a reticular

Here are the most common examples of these four patterns on a chest x-ray (click image

of these four patterns ... consolidation - Multifocal ill-defined ... Interstitial - Reticular ... opacities - Fine Nodular ... Consolidation #Patterns

Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

Nodular pattern ... Hypersensitivity pneumonitis: ill ... centrilobular nodules ... #Pattern #Comparison ... #Table #RadiologyAssistant

Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
• Homogeneous pattern:
-

and Cytoplasmic Patterns ... Nuclear Patterns ... • Homogeneous pattern ... : • Reticular/ ... SLE, SjS, CTD-ILD

On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary

pattern. 1. ... bronchiolitis: ill ... #Pattern #NodularPattern ... #Differential #Comparison ... #Table #RadiologyAssistant

Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and

Perilymphatic nodules ... perilymphatic nodules ... and the nodular ... thickening in the reticular ... pattern.

Radiographic Features of Pulmonary Diseases
- Pneumonia
- Atelectasis
- Emphysema
- Pneumothorax
- Effusion
-

Interstitial - Nodular ... Interstitial - Reticular ... Diseases #Radiology #Patterns

Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient

Nodular pattern( ... Sarcoidosis: nodules ... HRCT #CTChest #Nodular ... #Pattern #Comparison ... #Table #RadiologyAssistant

Whenever you see an area of increased density within the lung, it must be the result

of these four patterns ... or multifocal ill-defined ... fine or coarse reticular ... . 3- Nodule or mass ... Consolidation #Patterns

Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation

pneumonitis are: Mosaic pattern ... shows a mosaic pattern ... hyperaerated secondary nodules ... and secondry nodules ... and intralobular reticular

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