11 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... The cystic pattern ... histiocytosis or honeycombing ... pattern on a CXR ... #Diagnosis #Radiology
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung bases ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Pattern #Honeycombing
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... Honeycombing 4. ... #Clinical #Radiology ... #HRCT #CTChest ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... Honeycombing. 4. ... #Clinical #Radiology ... #HRCT #CTChest ... #Table #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... A HRCT is needed ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... pattern or a cystic ... a HRCT will give ... #Clinical #Radiology ... #CXR #CTChest #
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
the second reticular ... pattern recognizable ... on HRCT. ... #Clinical #Radiology ... #CTChest #Honeycombing
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... densities caused ... thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest #
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 ... attenuation (emphysema, cystic ... #CTChest #Interpretation ... #Algorithm #ILD
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
emphysema, bulla, honeycombing ... since in many cases ... we describe a chest ... visible wall #CXR ... #Differential #Table