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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On HRCT there are ... reticular, nodular ... is reticular. ... The cystic pattern ... When the cysts have
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... bronchovascular interstitium ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... peribronchovascular interstitium ... #NodularPattern ... Perilymphatic #Comparison
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... pattern or a cystic ... pattern. ... of such cases a HRCT ... #Interstitial #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Miliary TB: random ... before the typical cysts ... #NodularPattern ... #Differential #Comparison
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT Patterns ... Diagnosis Framework Reticular ... Lymphangitic Carcinoma, Interstitial ... Nodular: • Random ... Antitripsyn Def • Cysts
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 ... attenuation (emphysema, cystic ... perilymphatic or random ... Interpretation #Algorithm
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
represents the second reticular ... pattern recognizable ... on HRCT. ... Because of the cystic ... feature of usual interstitial
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... incidental finding in HRCT ... peribronchovascular interstitium ... #CTChest #Reticular ... #Pattern #Comparison