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The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... preference at the lung ... bases. ... #Clinical #Radiology ... #CXR #UIP #CTChest
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... On a chest X-ray ... to confirm the diagnosis ... #CXR #UIP #Reticular ... #Interstitial #
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
lung disease (i.e ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... bronchiolitis #Diagnosis ... #CTChest #GGO #
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... lung disease comes ... lung disease and ... UIP can be suspected ... #Diagnosis #Radiology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... findings of NSIP, UIP ... , OP and LIP have ... #Diagnosis #Radiology ... #Pulmonary #CTChest
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... changes in the basal lung ... preference also think 'UIP ... #CXR #CTChest # ... UIP #UsualInterstitialPneumonitis
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... cysts (LAM, LIP ... histiocytosis) - Bronchiectasis ... #Diagnosis #Radiology ... #Pulmonary #CTChest
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
The case on the ... typical for Usual Interstitial ... Pneumonia (UIP) ... #Clinical #Radiology ... #CTChest #UIP #
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... child-bearing age - Cystic bronchiectasis ... : 'signet ring sign ... central dot. - LIP ... #Radiology #CTChest
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... patients with bronchiectasis ... bronchial obstruction caused ... #Clinical #Radiology ... #CXR #CTChest #