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Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Interstitial - ... Nodule or mass ... - Multiple Masses ... #Patterns #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... bronchovascular interstitium ... #Nodular #Pattern
The distribution of nodules shown on HRCT is the most important factor in making an accurate
pattern. ... In most cases small ... peribronchovascular interstitium ... Pulmonary #HRCT #NodularPattern ... #Nodular #Pattern
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... Miliary TB: random ... nodules of the ... #Pattern #NodularPattern ... Differential #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... : reticular, nodular ... low attenuation (table ... pattern can be ... seen and in many cases
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
can present as consolidation ... or even as masses ... they may resemble consolidation ... #Interstitial # ... Pattern #Sarcoidosis
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT Patterns ... Lymphangitic Carcinoma, Interstitial ... Low Attenuation Nodular ... : • Random: Metastases ... HighRes #Chest #CT #Patterns
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Unknown • 6-7 cases ... opacities, Unilateral consolidation ... and GG pattern, ... irregular lines, nodular ... • HRCT: patchy consolidation
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 ... (ground-glass, consolidation ... perilymphatic or random ... Interpretation #Algorithm
Key findings in alveolar proteinosis
- Crazy paving pattern: reticular pattern superimposed on ground glass opacification.
- Opacifications
- Crazy paving pattern ... : reticular pattern ... ground glass to consolidation ... This is caused by ... transported to the interstitium