Genicular patterns table classification algorithm hrct ild pattern nodular reticular - GrepMed

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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from

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

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

Perilymphatic nodules ... and the nodular ... thickening in the reticular ... pattern. ... Radiology #Pulmonary #HRCT

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

Nodular pattern ... Hypersensitivity pneumonitis: ill ... Clinical #Radiology #HRCT ... #Pattern #Comparison ... #Table #RadiologyAssistant

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

pneumonitis are: Mosaic pattern ... The HRCT shows a ... mosaic pattern ... and secondry nodules ... and intralobular reticular

Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high

interpretation of HRCT ... the dominant HR-pattern ... : reticular nodular ... Interpretation #Algorithm ... #ILD #RadiologyAssistant

Reticular pattern
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.

Reticular pattern ... incidental finding in HRCT ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant

Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)

Figure 3 HRCT-LUS ... artifact); (G) UIP pattern ... subpleural, basal reticular ... #Correlation #Table ... #ILD #Findings

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

On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the

The HRCT shows diffuse ... and some mosaic pattern ... Reticular abnormalities ... DesquamativeInterstitialPneumonia #ILD

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