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The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... a reticular interstitial ... Clinical #Radiology #CXR ... #UIP #CTChest # ... TractionBronchiectasis #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
predominance: UIP ... , NSIP, DIP. - Centrilobular ... bronchiolitis #Diagnosis ... Radiology #Pulmonary #CTChest ... #Differential #RadiologyAssistant
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
typical for Usual Interstitial ... Pneumonia (UIP) ... Clinical #Radiology #CTChest ... #UIP #UsualInterstitialPneumonia ... #Honeycombing #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 ... with traction bronchiectasis ... Clinical #Radiology #CTChest ... #UIP #UsualInterstitialPneumonitis ... #Usual #Interstitial
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... On a Chest X-Ray ... in many cases UIP ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
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 ... central dot. - LIP ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... histiocytosis) - Bronchiectasis ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
findings of NSIP, UIP ... , OP and LIP have ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #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 ... On a chest X-ray ... to confirm the diagnosis ... #Interstitial # ... #Honeycombing #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... preference also think 'UIP ... Clinical #Radiology #CXR ... #CTChest #UIP # ... Reticular #ILD #RadiologyAssistant