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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... low attenuation (table ... The cystic pattern ... histiocytosis or honeycombing ... pattern can be
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
interstitial pattern ... HRCT demonstrates honeycombing ... #Clinical #Radiology ... #Interstitial # ... Pattern #Honeycombing
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Multifocal ill-defined ... - Reticular interstitial ... Atelectasis #Diagnosis #Clinical ... Consolidation #Patterns
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... #Clinical #Radiology ... HighAttenuation #Pattern ... #Comparison #Table
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... pattern at the ... #Clinical #Radiology ... #Interstitial # ... Pattern #Honeycombing
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
the second reticular ... pattern recognizable ... low attenuation pattern ... feature of usual interstitial ... #Clinical #Radiology
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
artifact); (G) UIP pattern ... bronchiectasis, and honeycombing ... #Clinical #Diagnosis ... #Correlation #Table ... #ILD #Findings
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... peribronchovascular interstitium ... #Clinical #Radiology ... #Pattern #Comparison ... #Table #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
GGO with a fine reticular ... pattern. ... Notice the lack of honeycombing ... #Clinical #Radiology ... NonspecificInterstitialPneumonia #ILD