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radiology radiologyassistant clinical interstitial diagnosis pulmonary comparison cystic ild uip differential langerhanscellhistiocytosis lch lowattenuation pneumonitis bronchiectasis cavitarylesion cavity chronic consolidation
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... histiocytosis or honeycombing ... pattern on a CXR ... seen and in many cases ... #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
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
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... bronchiectasis, no honeycombing ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
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 ... #Comparison #Table
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 ... #Comparison #Table
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
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
pattern. ... In many of such cases ... a HRCT will give ... #Clinical #Radiology ... #CXR #CTChest #
Chronic hypersensitivity pneumonitis The key findings in chronic hypersensitivity pneumonitis are: Mosaic pattern with areas of ground-glass atenuation
The HRCT shows a ... mosaic pattern ... and intralobular reticular ... #Clinical #Radiology ... #CXR #CTChest #
Sarcoidosis In this case the chest x-ray shows subtle findings that could be described as fine reticulation. In
the chest x-ray ... HRCT is needed to ... #Clinical #Radiology ... #CXR #Sarcoidosis ... #Interstitial #Pattern
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