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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
for idiopathic pulmonary ... HRCT = high-resolution ... computerised tomography; ILD ... = interstitial ... fibrosis; UIP = usual interstitial
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
on HRCT Most of ... disease comes from HRCT ... On HRCT there are ... Diagnosis #Radiology #Pulmonary ... #CXR #Interstitial
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
In many cases a HRCT ... The HRCT - not shown ... #Clinical #Radiology ... #CXR #Sarcoidosis ... #Nodular #Interstitial
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... Diagnosis #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
hypersensitivity pneumonitis; HRCT ... tomography; UIP = usual interstitial ... #pneumonitis #pulmonary ... algorithm #HP #ILD
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ill-defined ... - Reticular interstitial ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Thickening of the interstitium ... resolution of the HRCT ... the alveoli) or interstitial ... Diagnosis #Radiology #Pulmonary ... #GroundGlass #Differential
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... a reticular interstitial ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
pattern of UIP on HRCT ... #Clinical #Radiology ... UsualInterstitialPneumonitis #Usual #Interstitial ... #Pneumonitis #ILD
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... Mild mediastinal ... lymphadenopathy #Clinical ... UsualInterstitialPneumonitis #Usual #Interstitial ... #Pneumonitis #ILD