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The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... a reticular interstitial ... #Clinical #Radiology ... #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... histiocytosis or honeycombing ... in many cases UIP ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
Because of the cystic ... feature of usual interstitial ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant
Chest XRay Interstitial Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Interstitial #Pattern #Differential #Algorithm #RadiologyAssistant
Chest XRay Interstitial ... Differential Algorithm #Diagnosis ... #Radiology #Pulmonary ... #CXR #Interstitial ... Differential #Algorithm #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... (LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
to confirm the diagnosis ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Interstitial # ... #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest # ... #Usual #Interstitial
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
Honeycombing consisting ... multilayered thick-walled cysts ... lymphadenopathy #Clinical #Radiology ... #CTChest #UIP # ... Pneumonitis #ILD #RadiologyAssistant