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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... reticular, nodular ... low attenuation (table ... is frequently not ... #Diagnosis #Radiology
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table
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. ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic
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 ... Interstitial - Reticular ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Nodular #Pattern
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Differential #Comparison #Table
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 ... #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... order of relative frequency ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... (Table). ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular