10 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... The cystic pattern ... histiocytosis or honeycombing ... UIP can be suspected ... #Diagnosis #Radiology
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 ... HRCT demonstrated ... #Clinical #Radiology ... #CXR #UIP #Reticular
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... (LAM, LIP, Langerhans ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... preference at the lung bases ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
second reticular pattern ... recognizable on HRCT ... Because of the cystic ... #Clinical #Radiology ... #CTChest #Honeycombing
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
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
or a cystic pattern ... In many of such cases ... a HRCT will give ... #Clinical #Radiology ... #CXR #CTChest #
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... reticular densities caused ... thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest #
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 ... X-ray, we are trying ... visible wall #CXR
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
x-ray (CXR), try ... radiograph pattern ... wall, a chest x-ray ... not seen on a CXR ... #Radiology #CTChest