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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
adapted from the ATS ... computerised tomography; ILD ... = interstitial lung ... ; UIP = usual interstitial ... pneumonitis #IPF #UIP
Typical UIP with honeycombing and traction bronchiectasis in a patient with idiopathic pulmonary fibrosis (IPF) #Clinical
Typical UIP with ... idiopathic pulmonary fibrosis ... IPF) #Clinical #Radiology ... #CTChest #UIP # ... IPF #ILD #RadiologyAssistant
Cicacitration atelectasis
Atelectasis can be the result of fibrosis of lungtissue.
This is seen after radiotherapy and in
the result of fibrosis ... density of the lung ... #Clinical #Radiology ... #CXR #Radiation ... #Fibrosis #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... these patterns are also ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... is seen in: - UIP ... edema #Diagnosis #Radiology ... #Upper #Lower #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
volume loss and fibrotic ... changes in the basal lung ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary fibrosis ... manifests as a ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Subacute stage: - RB-ILD ... In chronic HP fibrotic ... throughout the whole lung ... Clinical #Diagnosis #Radiology ... #Mimic #ILD #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT as ... seen in fibrosis ... or interstitial lung ... bronchiolitis #Diagnosis #Radiology ... #Differential #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in UIP ... bronchiectasis due to fibrosis ... lymphadenopathy #Clinical #Radiology ... #CTChest #UIP # ... #RadiologyAssistant