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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... there are four patterns ... low attenuation (table ... in many cases UIP ... #Differential #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... pattern particularly ... pattern at the ... This pattern was ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
interstitial pattern ... preference at the lung ... Radiology #CXR #UIP ... #Interstitial #Pattern ... TractionBronchiectasis #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... realise, that these patterns ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
artifact); (G) UIP ... pattern with subpleural ... , basal reticular ... #Correlation #Table ... #ILD #Findings
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... or multifocal ill-defined ... fine or coarse reticular ... Consolidation #Patterns ... #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
a patient with DIP ... and some mosaic pattern ... Reticular abnormalities ... DesquamativeInterstitialPneumonia #ILD ... #RadiologyAssistant
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 ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... of reticular opacities ... differential diagnosis (Table ... #Differential #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
GGO with a fine reticular ... pattern. ... cases, excluding UIP ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant