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The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... preference at the lung bases ... #Clinical #Radiology ... #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
(LAM, LIP, Langerhans ... histiocytosis) - Bronchiectasis ... - Honeycombing ... #Diagnosis #Radiology ... Emphysema #SignetRing #RadiologyAssistant
On the left two cases of NSIP.
Note the varying combination of GGO and fibrosis (traction bronchiectasis),
On the left two cases ... combination of GGO ... fibrosis (traction bronchiectasis ... but the lack of honeycombing ... #Clinical #Radiology
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
In many cases you ... on the CXR. ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #RadiologyAssistant
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
The case on the ... subpleural honeycomb cysts ... #Clinical #Radiology ... #Honeycombing # ... RadiologyAssistant
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
20-40% of the cases ... In those cases there ... and honeycombing ... On the left two cases ... #Clinical #Radiology
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 ... with traction bronchiectasis ... lymphadenopathy #Clinical #Radiology ... Pneumonitis #ILD #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
histiocytosis or honeycombing ... seen and in many cases ... UIP can be suspected ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
On the left another case of UIP.
The lower zone predominance is demonstrated when you scroll through
the left another case ... #Clinical #Radiology ... TractionBronchiectasis #Bronchiectasis ... #Honeycombing # ... RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
tissue disease, all cases ... Notice the lack of honeycombing ... in all three cases ... , excluding UIP ... #Clinical #Radiology