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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... low attenuation (table ... in many cases UIP ... #Diagnosis #Radiology
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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- Emphysema - Lung ... on the basis of HRCT ... findings. ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
subpleural, basal reticular ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung ... #Correlation #Table ... #ILD #Findings
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... listed in the table ... on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... A HRCT is needed ... to confirm the diagnosis ... #Clinical #Radiology ... #CXR #UIP #Reticular
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
a predominant finding ... (Table). ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
rare idiopathic lung ... findings in AIP ... suggestive of the diagnosis ... #Clinical #Radiology ... #CTChest #AIP #
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
) Differential diagnosis ... show very similar HRCT ... findings ... throughout the whole lung ... #Radiology #CTChest
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... physical exam findings ... This post will focus ... #Radiology #CTChest ... #Lung #Pulmonary