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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... and what kind of pattern ... the most common pattern ... The cystic pattern ... in many cases UIP
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
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular pattern ... perilymphatic, random ... are visible, the pattern ... Radiology #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... Random refers to ... Radiology #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Lung cysts (LAM, LIP ... low attenuation pattern ... on the basis of HRCT
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... as a reticular pattern ... with a reticular pattern ... This pattern was ... #Interstitial #Pattern
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... Clinical #Radiology #HRCT ... LowAttenuation #Cystic #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
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... Clinical #Radiology #HRCT ... LowAttenuation #Cystic #Pattern