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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 ... Pulmonary #HRCT #CTChest ... #NodularPattern ... #Nodular #Pattern
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 ... #Nodular #Pattern ... #NodularPattern
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Miliary TB: random ... #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table
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 ... Interstitial - Reticular ... Atelectasis #Diagnosis #Clinical ... Consolidation #Patterns
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 ... perilymphatic or random ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
and some mosaic pattern ... Reticular abnormalities ... cessation of smoking #Clinical ... #Radiology #CTChest ... DesquamativeInterstitialPneumonia #ILD
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
artifact); (G) UIP pattern ... subpleural, basal reticular ... #Clinical #Diagnosis ... #Correlation #Table ... #ILD #Findings
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film is a reticular ... patern and that's ... recognized that this pattern ... #Clinical #Radiology ... #CXR #CTChest #
In the images on your left you can appreciate again the spectrum of findings seen in
GGO with a fine reticular ... pattern. ... #Clinical #Radiology ... #CTChest #NSIP ... NonspecificInterstitialPneumonia #ILD