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It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
on HRCT. ... #Clinical #Radiology ... #CTChest #UIP # ... UsualInterstitialPneumonitis #Usual ... Pneumonitis #ILD #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... lymphadenopathy #Clinical #Radiology ... #CTChest #UIP # ... UsualInterstitialPneumonitis #Usual ... Pneumonitis #ILD #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
pneumonia and UIP ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Central #Peripheral #RadiologyAssistant
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
left we see a chest ... The HRCT shows focal ... #Clinical #Radiology ... #CXR #CTChest # ... FingerInGlove #Sign #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
is seen in: - UIP ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Upper #Lower #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
recognizable on HRCT ... typical feature of usual ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
#Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
#Clinical #Radiology ... #CTChest #UIP # ... UsualInterstitialPneumonitis #Usual ... Pneumonitis #ILD #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... predominance: UIP ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant