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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis on HRCT ... disease comes from HRCT ... On HRCT there are ... reticular, nodular ... is reticular.
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... Miliary TB: random ... Clinical #Radiology #HRCT ... CTChest #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
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular pattern ... perilymphatic, random ... is either random ... it is likely a random ... Radiology #Pulmonary #HRCT
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 ... perilymphatic or random ... Interpretation #Algorithm #ILD
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... artifact); (G) UIP pattern ... subpleural, basal reticular ... #POCUS #Lung #Correlation ... #Table #ILD #Findings
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 • Homogeneous pattern: 
   -
and Cytoplasmic Patterns ... Nuclear Patterns ... • Homogeneous pattern ... : • Reticular/ ... SLE, SjS, CTD-ILD
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. ... Radiology #Pulmonary #HRCT
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Multifocal ill-defined ... Interstitial - Reticular ... Consolidation #Patterns
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
manifests as a reticular ... A HRCT is needed ... Here a CXR with a reticular ... HRCT demonstrated ... Radiology #CXR #UIP #Reticular