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Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... #Patterns #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential # ... Comparison #Table
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
#Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... : reticular, nodular ... #Diagnosis #Radiology ... #Pulmonary #CXR ... RadiologyAssistant
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
infarction In pulmonar ... this case a lung cyst ... The pulmonary embolus ... #Clinical #Radiology ... PulmonaryEmbolism #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
or an area of consolidation ... associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Patterns - Differential ... Low Attenuation Nodular ... Hemorrhage, Edema • Consolidation ... Antitripsyn Def • Cysts ... #pulmonary #radiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
- Chest Radiology ... small (1 -4 mm) nodules ... #Chest #Radiology ... diagnosis #pulmonary ... #CXR #clinical
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 ... #Algorithm #ILD ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... there is a broad differential ... #Clinical #Radiology ... #CTChest #RBILD ... #RadiologyAssistant