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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
Diagnostic algorithm ... idiopathic pulmonary fibrosis ... HRCT = high-resolution ... computerised tomography; ILD ... UIP #Algorithm #Diagnosis
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 ... to confirm the diagnosis ... attributed to chronic ... HRCT demonstrated
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... ) Differential diagnosis ... Subacute stage: - RB-ILD ... show very similar HRCT ... In chronic HP fibrotic
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... bronchiectasis, and honeycombing ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung ... Correlation #Table #ILD
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... UIP Honeycombing ... bronchiectasis due to fibrosis ... Mild mediastinal ... #Pneumonitis #ILD
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
Fibrosis and parenchymal ... The HRCT shows a ... existing irreversible fibrosis ... Clinical #Radiology #CXR ... #Fibrosis #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... disease comes from HRCT ... On HRCT there are ... histiocytosis or honeycombing
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
Approach to the diagnosis ... of chronic hypersensitivity ... cHP = chronic hypersensitivity ... pneumonitis; HRCT ... algorithm #HP #ILD
On the left two cases with chronic consolidation. 
There are patchy non-segmental consolidations in a subpleural
two cases with chronic ... The final diagnosis ... pneumonia the HRCT ... In fibrosis there ... like honeycombing
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 ... IdiopathicInterstitialPneumonia #ILD