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Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... fibrosis. ... bronchiectasis, and honeycombing ... Clinical #Diagnosis #HRCT ... #Table #ILD #Findings
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
histologic pattern of pulmonary ... fibrosis. ... On a chest X-ray ... A HRCT is needed ... #Clinical #Radiology
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... • Idiopathic pulmonary ... fibrosis (IPF), ... #diagnosis #differential ... #pulmonary #causes
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Chronic Eos PNA, Fibrosis ... Fibrosis, RA, Scleroderma ... Aspiration, Cystic Fibrosis ... #radiology
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... chronic HP (right) Differential ... show very similar HRCT ... throughout the whole lung ... HypersensitivityPneumonitis #Fibrosis
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
the result of fibrosis ... findings of fibrosis ... GGO, one without fibrosis ... bronchiectasis indicating fibrosis ... #Clinical #Radiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... histiocytosis or honeycombing ... #Diagnosis #Radiology ... #Pulmonary #CXR
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... as seen in fibrosis ... or interstitial lung ... disease (i.e. fibrosis ... #Pulmonary #CTChest
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
Progressive Massive Fibrosis ... lung disease caused ... progressive massive fibrosis ... Progressive #Massive #Fibrosis ... #CXR #Chest #XRay