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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... is reticular. ... presents as a reticular ... Diagnosis #Radiology #Pulmonary
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 ... mass - Solitary Pulmonary ... Consolidation #Patterns
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... 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)
in normal lung, pulmonary ... artifact); (G) UIP pattern ... subpleural, basal reticular ... #Correlation #Table ... #ILD #Findings
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 ... there additional findings ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary ... IdiopathicInterstitialPneumonia #ILD
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 ... a predominant finding ... differential diagnosis (Table ... HRCT #CTChest #Reticular
In the images on your left you can appreciate again the spectrum of findings seen in
the spectrum of findings ... superimposed fine reticular ... GGO with a fine reticular ... pattern. ... NonspecificInterstitialPneumonia #ILD
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
and bullous or vesicular ... discrepancies Findings ... - (C-ANCA) pattern ... - (P-ANCA) pattern ... #rheumatology #classification
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... The dominant findig ... chest film is a reticular ... patern and that's ... recognized that this pattern