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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

The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates

demonstrates a reticular ... interstitial pattern ... The HRCT demonstrates ... #UIP #CTChest #Reticular ... #Interstitial #Pattern

UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular

is a histologic pattern ... manifests as a reticular ... Here a CXR with a reticular ... #Clinical #Radiology ... #CXR #UIP #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 ... Atelectasis #Diagnosis #Clinical ... Consolidation #Patterns

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

Reticular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table

Lymphangitis carcinomatosis also produces a reticular pattern.
It is best appreciated on HRCT-images. #Clinical #Radiology #CTChest #Lymphangitic

also produces a reticular ... pattern. ... appreciated on HRCT-images ... #Clinical #Radiology

Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern

Cystic versus Reticular ... dealing with a reticular ... pattern or a cystic ... pattern. ... pattern.

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

Nodular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table

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 intralobular reticular ... #Clinical #Radiology

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

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