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A reticulonodular interstitial pattern is produced by either overlap of reticular shadows or by the presence of reticular shadowing and nodular opacities 1,2 There are various types of pulmonary opacities, easily categorized as extensive, nodular, reticular, or cystic. While this is a relatively common appearance on a chest radiograph, very few diseases are confirmed to show this pattern pathologically 1
A pulmonologist, a lung specialist, often leads this diagnostic process Pulmonary opacity is a nonspecific term describing an area of increased pulmonary attenuation caused by an intraparenchymal process For chronic conditions that cause reticular opacities, regular monitoring is essential
Management strategies are tailored to the specific underlying cause.
Airspace filling localized = segmental diffuse or multifocal 2 Interstitial patterns reticular—fine or coarse linear shadows reticulonodular nodular—small (2 to 3 mm), medium, large, or masses (>3 cm) 3 Atelectasis diminished aeration of lung associated with signs of volume loss causes of pulmonary opacity focal airspace disease pneumonia pulmonary embolism In a, unenhanced axial chest ct scan with lung window settings, showing reticular opacities in the lower lobes of the lungs
In b, coronal reconstruction with bone window settings and maximum intensity projection, showing interstitial calcifications arranged in a branching network pattern.
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