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radiology radiologyassistant ctchest clinical diagnosis ild pattern pulmonary table differential interstitial honeycombing lowattenuation bronchiectasis chronic cystic findings highattenuation hypersensitivitypneumonitis idiopathic
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
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
These include: - Emphysema ... Lung cysts (LAM, LIP ... on the basis of HRCT ... Differential #Diagram #Comparison ... TractionBronchiectasis #Cysts #Emphysema
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
(centrilobular emphysema ... is seen in: - UIP ... Radiology #Pulmonary #HRCT
UIP with honeycombing (left) and chronic HP (right) Differential diagnosis of Hypersensitivity Pneumonitis. Subacute stage: - RB-ILD: seen in
centrilobular emphysema ... show very similar HRCT ... In chronic HP fibrotic ... #Comparison #Chronic ... HypersensitivityPneumonitis #Fibrosis
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
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... Clinical #Radiology #HRCT ... Cystic #Pattern #Comparison
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... Clinical #Radiology #HRCT ... Cystic #Pattern #Comparison
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
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