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Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... Interstitial - Reticular ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... #Patterns #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
thickening in the reticular ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... , nodular, high ... #Diagnosis #Radiology ... #Pattern #Differential ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Non specific interstitial ... Sarcoidosis end-stage: consolidation ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Reticular #Interstitial ... TractionBronchiectasis #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
bronchovascular interstitium ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Differential # ... Algorithm #RadiologyAssistant
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
pattern of UIP on HRCT ... #Clinical #Radiology ... #CTChest #UIP # ... #Pneumonitis #ILD ... #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
this case the chest ... In many cases a HRCT ... #Clinical #Radiology ... #Interstitial # ... Pattern #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
dominant HR-pattern: reticular ... nodular high attenuation ... (ground-glass, consolidation ... #Algorithm #ILD ... #RadiologyAssistant