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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
HRCT = high-resolution ... computerised tomography; ILD ... = interstitial lung ... disease; IPF = ... fibrosis; UIP =
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... Smoking related diseases ... bronchiolitis (RB-ILD ... is seen in: - UIP ... #Pulmonary #HRCT
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... Honeycombing Most diseases ... on the basis of HRCT ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... morphologic findings on HRCT ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... disease comes from ... in many cases UIP ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
Diseases (ILD) ... • Idiopathic pulmonary ... fibrosis (IPF), ... disease (RB-ILD ... #Diseases #ILD
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... or interstitial lung ... disease (i.e. fibrosis ... predominance: UIP ... #Pulmonary #CTChest
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
disease, idiopathic ... pulmonary fibrosis ... artifact); (G) UIP ... pattern with subpleural ... #Table #ILD #Findings
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... fibrosis. ... A HRCT is needed ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
recognize the pattern ... of UIP on HRCT. ... #Clinical #Radiology ... #Pneumonitis #ILD ... #RadiologyAssistant