Patterns table classification algorithm hrct pattern diffuse ctchest 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 ... The cystic pattern ... pattern on a CXR

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 #RadiologyAssistant

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 ... are diffuse and ... #Nodular #Pattern

Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient

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

Here are the most common examples of these four patterns on a chest x-ray (click image

of these four patterns ... on a chest x-ray ... consolidation - Diffuse ... Interstitial - Reticular ... Consolidation #Patterns

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

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

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 ... Radiology #CXR #CTChest

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

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 ... #CTChest #Interpretation ... #Algorithm #ILD

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 ... Clinical #Radiology #CTChest

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