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in this screencast we are going to discuss the patterns of interstitial opacities at the end of this screencast in conjunction with the prior screencast on patterns you should be able to differentiate airspace opacities from interstitial opacities and you should start to be able to use basic terminology to describe the patterns of disease on chest x-ray and on CT when I think about interstitial opacities I tend to break them down into three simple categories lines or thickening of the inter lobular septa dots or nodules and cysts lets look a little bit closer at the basic anatomic unit that we can see on CT again we call this the secondary pulmonary lobule and it is composed of three basic elements the center of the lobule is going to be composed of a terminal bronchial and pulmonary artery we then have the Asuna which are clusters of alveoli surrounding the center of the pulmonary lobule and then we have the inter lobular septa and this inter lobular septa is composed of fibrous con