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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from

there are four patterns ... low attenuation (table ... The cystic pattern ... pattern on a CXR ... seen and in many cases

Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation

pneumonitis are: Mosaic pattern ... shows a mosaic pattern ... and intralobular reticular ... #Clinical #Radiology ... #CXR #CTChest #

Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

Nodular pattern ... #Clinical #Radiology ... #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

On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary

with a nodular pattern ... #Clinical #Diagnosis ... Radiology #Pulmonary #CTChest ... #Nodular #Pattern ... Differential #Comparison #Table

The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates

interstitial pattern ... preference at the lung bases ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Pattern #Honeycombing

UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular

is a histologic pattern ... pattern particularly ... pattern at the ... This pattern was ... #Clinical #Radiology

Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern

pattern or a cystic ... pattern. ... pattern. ... #Clinical #Radiology ... #CXR #CTChest #

COVID-19 Chest CT - Case 4

Main aspects of the image: multiple opacities in the glass and

COVID-19 Chest CT ... a multilobular pattern ... Reticular opacities ... COVID19 #SARSCoV2 #CTChest ... #Clinical #CriticalCare

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

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