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The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
interstitial pattern ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Reticular #Interstitial ... #Traction #Bronchiectasis
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 ... bronchiectasis ... #Radiology #CTChest ... #UIP #UsualInterstitialPneumonitis
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
recognize the pattern ... of UIP on HRCT. ... #Clinical #Radiology ... #CTChest #UIP # ... #Pneumonitis #ILD
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Diagram #Comparison
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... pattern of pulmonary ... UIP manifests as ... #Clinical #Radiology ... #CXR #UIP #Reticular
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Pattern #Differential ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
: reticular nodular ... bronchiectasis) ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Algorithm #ILD
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... Chronic stage: - UIP ... - UIP has a strong ... #Radiology #CTChest ... #UIP #Comparison
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
opacity, some traction ... bronchiectasis ... like idiopathic pulmonary ... patients with a UIP ... #Clinical #Radiology