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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
The cystic pattern ... When the cysts have ... in many cases UIP ... #Diagnosis #Radiology ... #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... Lymphangiomyomatosis, LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: round cysts, evenly ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Cysts
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... (LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... thick walls of the cysts ... preference also think 'UIP ... #Clinical #Radiology ... UIP #UsualInterstitialPneumonitis
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in UIP ... multilayered thick-walled cysts ... #Radiology #CTChest ... #UIP #UsualInterstitialPneumonitis ... #Usual #Interstitial
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
represents the second reticular ... pneumonia (UIP) ... #Clinical #Radiology ... #UIP #UsualInterstitialPneumonia ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Interstitial #
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
#Clinical #Diagnosis ... #Radiology #CTChest ... #Cavity #Cyst # ... Emphysema #Comparison ... #RadiologyAssistant