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HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... UIP Honeycombing ... lymphadenopathy #Clinical #Radiology ... #CTChest #UIP # ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... Bronchiectasis - Honeycombing ... on the basis of HRCT ... #Diagnosis #Radiology ... Emphysema #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... is seen in: - UIP ... Pulmonary edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... to confirm the diagnosis ... HRCT demonstrated ... #Clinical #Radiology ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... ) Differential diagnosis ... show very similar HRCT ... #Radiology #CTChest ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... histiocytosis or honeycombing ... in many cases UIP ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... findings of NSIP, UIP ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
aswell as the HRCT ... suggestive of the diagnosis ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... broad differential diagnosis ... patient was coughing up ... #Clinical #Radiology ... #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
Notice the lack of honeycombing ... cases, excluding UIP ... as diagnosis. ... #Clinical #Radiology ... #RadiologyAssistant