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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... is seen in: - UIP ... edema #Diagnosis ... #Radiology #Pulmonary
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
of NSIP, UIP, OP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Typical UIP with honeycombing and traction bronchiectasis in a patient with idiopathic pulmonary fibrosis (IPF) #Clinical
with idiopathic pulmonary ... fibrosis (IPF) #Clinical ... #Radiology #CTChest ... #UIP #IPF #ILD ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... basis of HRCT findings ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
, pulmonary congestion ... artifact); (G) UIP ... #Clinical #Diagnosis ... Correlation #Table #ILD ... #Findings
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #LAM #LIP ... Histiocytosis #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 ... #Pneumonitis #ILD ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
very similar HRCT findings ... throughout the whole lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
subpleural and basal lung ... #Clinical #Radiology ... #CTChest #UIP # ... #Pneumonitis #ILD ... #RadiologyAssistant