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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 =
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... fibrosis. ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Interstitial #
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
lung disease comes ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... lung disease (i.e ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
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 ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Findings #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... bronchiectasis due to fibrosis ... lymphadenopathy #Clinical #Radiology ... #Pneumonitis #ILD ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
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 ... #POCUS #Lung #Correlation ... #Table #ILD #Findings
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
show very similar HRCT ... throughout the whole lung ... Clinical #Diagnosis #Radiology ... HypersensitivityPneumonitis #Fibrosis ... #Mimic #ILD #RadiologyAssistant