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radiology radiologyassistant ctchest clinical diagnosis ild pulmonary interstitial pattern differential honeycombing table bronchiectasis chronic emphysema findings highattenuation hypersensitivitypneumonitis idiopathic pneumonitis
Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
idiopathic pulmonary fibrosis ... HRCT = high-resolution ... idiopathic pulmonary fibrosis ... ; UIP = usual interstitial ... pneumonitis #IPF #UIP
UIP UIP is a histologic pattern of pulmonary fibrosis. On a chest X-ray UIP manifests as a reticular
pattern of pulmonary fibrosis ... on the CXR. ... A HRCT is needed ... Here a CXR with ... HRCT demonstrated
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis on HRCT ... disease comes from HRCT ... On HRCT there are ... On a CXR the most ... in many cases UIP
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis. Notes: (A)
Figure 3 HRCT-LUS ... idiopathic pulmonary fibrosis ... arrow); (E) NSIP fibrotic ... artifact); (G) UIP ... Clinical #Diagnosis #HRCT
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
result of massive fibrosis ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern #Comparison
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 ... HypersensitivityPneumonitis #Chronic #Fibrosis
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
end-stage with massive fibrosis ... Clinical #Radiology #HRCT ... 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 ... as seen in fibrosis ... disease (i.e. fibrosis ... predominance: UIP ... , NSIP, DIP. - Centrilobular
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
Lung cysts (LAM, LIP ... on the basis of HRCT ... Differential #Diagram #Comparison
UIP with honeycombing (left) and chronic HP (right) Differential diagnosis of Hypersensitivity Pneumonitis. Subacute stage: - RB-ILD: seen in
UIP with honeycombing ... show very similar HRCT ... In chronic HP fibrotic ... #Comparison #Chronic ... HypersensitivityPneumonitis #Fibrosis
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