34 results
Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
HRCT = high-resolution ... computerised tomography; ILD ... fibrosis; UIP = ... usual interstitial pneumonitis ... #Pulmonary #Fibrosis
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
Approach to the diagnosis ... ; HRCT = high-resolution ... computed tomography; UIP ... #pulmonary #diagnosis ... algorithm #HP #ILD
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... is seen in: - UIP ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
Hypersensitivity pneumonitis ... • Radiation pneumonitis ... fibrosis (IPF), ... #diagnosis #differential ... #pulmonary #causes
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 ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis ... : ill defined centrilobular ... #Clinical #Radiology ... #HRCT #CTChest ... Nodular #Pattern #Comparison
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Hypersensitivity Pneumonitis ... show very similar HRCT ... #Clinical #Diagnosis ... #UIP #Comparison ... HypersensitivityPneumonitis #Fibrosis
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
specific interstitial pneumonitis ... result of massive fibrosis ... #Clinical #Radiology ... #HRCT #CTChest ... HighAttenuation #Pattern #Comparison
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... predominance: UIP ... Hypersensitivity pneumonitis ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
the pattern of UIP ... on HRCT. ... #Clinical #Radiology ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant