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Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... #CTChest #NodularPattern ... #Nodular #Pattern
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... four patterns: ... The cystic pattern ... seen and in many cases ... #Differential #
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Miliary TB: random ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern
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 ... Atelectasis #Diagnosis #Clinical ... Consolidation #Patterns
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
the chest x-ray ... HRCT is needed to ... The HRCT - not shown ... #Clinical #Radiology ... #Interstitial #Pattern
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern ... mm) nodules • Diffusely ... PulmPEEPs #Miliary #Pattern ... #differential # ... pulmonary #CXR #clinical
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 ... #Clinical #Diagnosis ... #Nodular #Pattern ... NodularPattern #Differential
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 ... perilymphatic or random ... #CTChest #Interpretation ... #Algorithm #ILD
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... as a reticular pattern ... with a reticular pattern ... This pattern was ... #Clinical #Radiology
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
reticular interstitial pattern ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Interstitial #Pattern