13 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
Fibrosis and parenchymal ... existing irreversible fibrosis ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
specific interstitial pneumonitis ... result of massive fibrosis ... #Clinical #Radiology ... #HRCT #CTChest ... #Table #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Hypersensitivity Pneumonitis ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison ... #Mimic #ILD #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
bronchiectasis due to fibrosis ... lymphadenopathy #Clinical ... #Radiology #CTChest ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
volume loss and fibrotic ... #Clinical #Radiology ... #CXR #CTChest # ... #Interstitial #Pneumonitis ... Reticular #ILD #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
Here a typical chest ... hypersensitivity pneumonitis ... #Clinical #Radiology ... #CXR #Lateral # ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary fibrosis ... On a chest X-ray ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
hypersensitivity pneumonitis ... patients with a UIP ... #Clinical #Radiology ... #CTChest #DrugInduced ... #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
Signs of fibrosis ... #Clinical #Radiology ... #CTChest #Chronic ... HypersensitivityPneumonitis #Fibrosis ... #RadiologyAssistant