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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... is seen in: - UIP ... Pulmonary edema #Diagnosis ... #Radiology #Pulmonary ... HRCT #ChestCT #Differential
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest x-ray ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in many cases UIP ... #Diagnosis #Radiology ... Interstitial #Pattern #Differential ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Subacute stage: - RB-ILD ... #Clinical #Diagnosis ... #Radiology #CTChest ... Fibrosis #Mimic #ILD
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... to confirm the diagnosis ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
dealing with the differential ... diagnosis of chronic ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... #Clinical #Radiology ... #CXR #CTChest # ... Pneumonitis #Reticular #ILD ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
smoker with RB-ILD ... first think RB-ILD ... #Clinical #Radiology ... RespiratoryBronchiolitis #ILD ... #RadiologyAssistant
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
has a limited differential ... produces only mild ... #Diagnosis #Radiology ... #CXR #Lobar #Collapse ... Patterns #Comparison #RadiologyAssistant
The predominant finding is ground glass opacity (GGO).
There is very subtle traction bronchiectasis, indicating that the
distribution of UIP ... suggestive for the diagnosis ... #Clinical #Radiology ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant