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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
pneumonia and UIP ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... Central #Peripheral #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
is seen in: - UIP ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... On a chest X-ray ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
thickening in the reticular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
demonstrates a reticular ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... Interstitial - Reticular ... mass - Solitary Pulmonary ... Diagnosis #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... predominance: UIP ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant