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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
HRCT = high-resolution ... pulmonary fibrosis; UIP ... usual interstitial pneumonitis ... #IPF #UIP #Algorithm
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Hypersensitivity pneumonitis ... is seen in: - UIP ... Radiology #Pulmonary #HRCT ... #ChestCT #Differential
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
hypersensitivity pneumonitis ... hypersensitivity pneumonitis ... ; HRCT = high-resolution ... computed tomography; UIP ... hypersensitivity #pneumonitis
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... disease comes from HRCT ... On HRCT there are ... in many cases UIP
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
hypersensitivity pneumonitis ... hypersensitivity pneumonitis ... hypersensitivity pneumonitis ... The HRCT shows a ... Clinical #Radiology #CXR
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
pneumonia and UIP ... Radiology #Pulmonary #HRCT ... #ChestCT #Differential
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... Hypersensitivity pneumonitis ... #GroundGlass #Differential
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
the pattern of UIP ... on HRCT. ... Radiology #CTChest #UIP ... #Interstitial #Pneumonitis
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
on the CXR. ... A HRCT is needed ... Here a CXR with ... HRCT demonstrated ... Clinical #Radiology #CXR
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 ... LowAttenuation #Differential