Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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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 - ... Reticular interstitial ... - Multiple Masses ... #Patterns #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... is reticular. ... seen and in many cases ... #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
An acute reticular ... pattern is most ... frequently caused ... The other cause ... Pneumonia #PJP #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... . 1- Consolidation ... opacities. 2- Interstitial ... fine or coarse reticular ... #Patterns #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... Sarcoidosis end-stage: consolidation ... #Comparison #Table ... #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 ... #Algorithm #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
can present as consolidation ... they may resemble consolidation ... #Interstitial # ... Pattern #Sarcoidosis ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
demonstrates a reticular ... interstitial pattern ... preference at the lung bases ... #Interstitial # ... TractionBronchiectasis #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... of the consolidation ... in fact this is nodular ... interstitial lung ... #Causes #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
In many cases a ... demonstrated a fine nodular ... #Sarcoidosis #Nodular ... #Interstitial # ... Pattern #RadiologyAssistant