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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
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 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
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
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
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... densities caused ... #Clinical #Radiology ... #CXR #CTChest # ... #ILD #RadiologyAssistant
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
On the left two cases of NSIP.
Note the varying combination of GGO and fibrosis (traction bronchiectasis),
On the left two cases ... fibrosis (traction bronchiectasis ... but the lack of honeycombing ... #Clinical #Radiology ... NonspecificInterstitialPneumonia #ILD #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
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... The CXR is of a ... In many of such cases ... #Clinical #Radiology ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant