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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... On a Chest X-Ray ... is reticular. ... #Diagnosis #Radiology ... #Pulmonary #CXR
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 ... - Reticular interstitial ... mass - Solitary Pulmonary ... Diagnosis #Clinical #Radiology
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... differential diagnosis (Table ... pulmonary edema ... #Diagnosis #Radiology ... #CTChest #Reticular
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... peribronchovascular interstitium ... #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
shows diffuse areas ... and some mosaic pattern ... Reticular abnormalities ... #CTChest #DIP # ... DesquamativeInterstitialPneumonia #ILD
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 ... #Pulmonary #HRCT ... #CTChest #Interpretation ... #Algorithm #ILD
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... The histologic pattern ... There are areas ... and extensive areas ... #CTChest #AIP #
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
radiographic findings are areas ... like idiopathic pulmonary ... and non-specific interstitial ... #Clinical #Radiology ... #CTChest #DrugInduced