13 results
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
specific interstitial pneumonitis ... bronchiectasis, no honeycombing ... result of massive fibrosis ... Clinical #Radiology #HRCT ... #Table #RadiologyAssistant
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 ... HRCT demonstrated ... #RadiologyAssistant
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 ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
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 ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... Hypersensitivity Pneumonitis ... show very similar HRCT ... #Comparison #Chronic ... #Mimic #ILD #RadiologyAssistant
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 ... #Honeycombing # ... Emphysema #SignetRing #RadiologyAssistant
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 ... #UIP #CTChest # ... TractionBronchiectasis #RadiologyAssistant
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
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 ... predominance: UIP ... Hypersensitivity pneumonitis ... #Differential #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
recognizable on HRCT ... composed of dense fibrous ... interstitial pneumonia (UIP ... #UIP #UsualInterstitialPneumonia ... #RadiologyAssistant