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On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Miliary TB: random ... #Clinical #Diagnosis ... CTChest #Nodular #Pattern ... #NodularPattern
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... and centrilobular ... are visible, the pattern ... HRCT #CTChest #NodularPattern ... #Nodular #Pattern
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Miliary TB: random ... #Clinical #Radiology ... CTChest #Nodular #Pattern ... #Comparison #Table
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... perilymphatic, centrilobular ... Pulmonary #HRCT #NodularPattern ... #Nodular #Pattern ... #Centrilobular
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... Centrilobular emphysema ... #Clinical #Radiology ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... Centrilobular emphysema ... #Clinical #Radiology ... LowAttenuation #Cystic #Pattern ... #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 ... secondary lobule (centrilobular ... perilymphatic or random ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity
centrilobular nodules ... cases) or mosaic pattern ... There are ill-defined ... centrilobular nodules ... #Clinical #Radiology
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
artifact); (G) UIP pattern ... #Clinical #Diagnosis ... #Correlation #Table ... #ILD #Findings
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... is a reticular patern ... recognized that this pattern ... this patient is centrilobular ... #Clinical #Radiology