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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... The cystic pattern ... When the cysts have ... #Diagnosis #Radiology ... #Pulmonary #CXR
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts ... Emphysema #SignetRing #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
- Reticular interstitial ... - Solitary Pulmonary ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular ... Pattern #Honeycombing
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 # ... #ILD #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Reticular: • ... Lymphangitic Carcinoma, Interstitial ... Low Attenuation Nodular ... Antitripsyn Def • Cysts ... #pulmonary #radiology
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... #Radiology #Pulmonary ... #HRCT #CTChest ... #ILD #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film is a reticular ... caused by multiple cysts ... the central dot sign ... #Clinical #Radiology ... #CXR #CTChest #