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The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung bases ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Pattern #Honeycombing ... TractionBronchiectasis #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
most frequently caused ... The other cause ... cough and some fever ... #Clinical #Radiology ... Pneumonia #PJP #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
Notice the honeycombing ... #Clinical #Radiology ... #CTChest #UIP # ... UsualInterstitialPneumonitis #Usual #Interstitial ... Pneumonitis #ILD #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... to confirm the diagnosis ... #Clinical #Radiology ... #Interstitial # ... #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
Notice the honeycombing ... #Clinical #Radiology ... #CTChest #UIP # ... UsualInterstitialPneumonitis #Usual #Interstitial ... LowerLungPredominance #ILD #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... Bronchiectasis - Honeycombing ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
typical for Usual Interstitial ... #Clinical #Radiology ... #CTChest #UIP # ... Bronchiectasis #Honeycombing ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... histiocytosis or honeycombing ... UIP can be suspected ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
feature of usual interstitial ... pneumonia (UIP) ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
Honeycombing consisting ... lymphadenopathy #Clinical #Radiology ... #CTChest #UIP # ... UsualInterstitialPneumonitis #Usual #Interstitial ... Pneumonitis #ILD #RadiologyAssistant