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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
idiopathic pulmonary fibrosis ... HRCT = high-resolution ... computerised tomography; ILD ... ; 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
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 ... Radiology #CTChest #UIP ... #Pneumonitis #ILD
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... Subacute stage: - RB-ILD ... show very similar HRCT ... In chronic HP fibrotic ... #Comparison #Chronic
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... artifact); (G) UIP ... bronchiectasis, and honeycombing ... Clinical #Diagnosis #HRCT ... Correlation #Table #ILD
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... Bronchiectasis - Honeycombing ... on the basis of HRCT ... Differential #Diagram #Comparison ... #Honeycombing #
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
bronchiectasis, no honeycombing ... result of massive fibrosis ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern #Comparison
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... The HRCT demonstrates ... honeycombing and ... Clinical #Radiology #CXR ... #UIP #CTChest #
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 ... histiocytosis or honeycombing ... in many cases UIP
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
Honeycombing represents ... recognizable on HRCT ... composed of dense fibrous ... interstitial pneumonia (UIP ... #UIP #UsualInterstitialPneumonia