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

in interstitial lung ... there are four patterns ... : reticular, nodular ... low attenuation (table ... is interstitial lung

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 ... Atelectasis #Diagnosis #Clinical ... 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 ... #Clinical #Radiology ... #Pattern #Comparison ... #Table #RadiologyAssistant

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

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

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

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

artifact); (G) UIP pattern ... subpleural, basal reticular ... #Clinical #Diagnosis ... #Correlation #Table ... #ILD #Findings

Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
• Idiopathic form of organizing pneumonia
• formerly BOOP

Organizing Pneumonia - Clinical ... consolidation and GG pattern ... irregular lines, nodular ... Treatment: • Mild ... BOOP #pulmonary #ILD

Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity

centrilobular nodules ... cases) or mosaic pattern ... opacity due to lung ... There are ill-defined ... #Clinical #Radiology

COVID-19 Chest CT - Case 4

Main aspects of the image: multiple opacities in the glass and

at times with a nodular ... periphery of two lungs ... a multilobular pattern ... Reticular opacities ... SARSCoV2 #CTChest #Clinical

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 ... Interpretation #Algorithm ... #ILD #RadiologyAssistant

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