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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 disease ... #IPF #UIP #Algorithm
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Honeycombing Most diseases ... on the basis of HRCT ... findings. ... #Diagnosis #Radiology ... #Pulmonary #CTChest
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
rheumatoid lung disease ... fibrosis. ... #Clinical #Diagnosis ... Correlation #Table #ILD ... #Findings
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 #CTChest ... #Pneumonitis #ILD
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

Elevated Hemoglobin:
 • Males: Hb > 16.5 g/dL/HCT ≥ 49%
 •
Differential Diagnosis Algorithm ... Hypoxia-driven: Cardiac/pulmonary ... disease, Smoking ... , HCC, uterine fibroids ... #hematology
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
show very similar HRCT ... findings ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
highly significant finding ... treatable lung disease ... cases the lung disease ... findings of fibrosis ... #Clinical #Radiology
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... findings. ... smoker with RB-ILD ... #Clinical #Radiology ... CTChest #RBILD #Comparison
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
there additional findings ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant