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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
Diagnostic algorithm ... HRCT = high-resolution ... computerised tomography; ILD ... = interstitial lung ... fibrosis; UIP =
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... is seen in: - UIP ... #Pulmonary #HRCT ... #Table #Distribution
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
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... fibrosis. ... artifact); (G) UIP ... Clinical #Diagnosis #HRCT ... #Table #ILD #Findings
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 • (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Differential Diagnosis ... Interstitial Pneumonia - fibrosis ... #Diseases #ILD ... #Causes #Differential
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... combinations of fibrosis ... listed in the table ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... Even fibrosis as ... in UIP, NSIP and ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... UIP can be suspected ... #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 ... or interstitial lung ... predominance: UIP ... #Pulmonary #CTChest ... #GroundGlass #Differential
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 ... HRCT demonstrated ... #Clinical #Radiology