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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... reticular, nodular ... in many cases UIP ... #Pulmonary #CXR ... Pattern #Differential
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... - Reticular interstitial ... - Solitary Pulmonary ... #Clinical #Radiology ... Consolidation #Patterns
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
thickening in the reticular ... pattern. ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Interstitial #
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... #Pulmonary #HRCT ... #Nodular #Pattern
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... pulmonary edema ... Nodular or irregular ... #Pulmonary #HRCT ... #CTChest #Reticular
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... predominance: UIP ... #Radiology #Pulmonary ... #CTChest #GGO #
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Patterns - Differential ... Reticular: • ... Low Attenuation Nodular ... #CT #Patterns # ... Differential #Diagnosis
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 ... #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... there is a broad differential ... diagnosis and additional ... patient was coughing up ... #CTChest #RBILD