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Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... #HRCT #CTChest ... #NodularPattern ... #Nodular #Pattern
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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The fourth pattern ... low attenuation pattern ... on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... #Pattern #NodularPattern ... #Differential #Comparison
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern ... mm) nodules • Diffusely ... PulmPEEPs #Miliary #Pattern ... differential #diagnosis #pulmonary ... CXR #clinical #CT
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... Diagnosis #Radiology #Pulmonary ... #HRCT #NodularPattern ... #Nodular #Pattern ... Perilymphatic #Comparison
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... incidental finding in HRCT ... #CTChest #Reticular ... #Pattern #Comparison
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... capillaritis leading to diffuse ... hemorrhage (DAH) • Diffuse ... CT ... • IF staining patterns
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 ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
RB-ILD with subtle HRCT-findings ... The dominant pattern ... these non-specific CT ... interpretion of the HRCT ... Clinical #Radiology #CTChest