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The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
a reticular interstitial ... The HRCT demonstrates ... #CXR #UIP #CTChest ... #Reticular #Interstitial ... #Pattern #Honeycombing
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
histiocytosis) - Bronchiectasis ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... pattern on a CXR ... #Diagnosis #Radiology ... Pattern #Differential ... #RadiologyAssistant
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 ... #CTChest #UIP # ... #Pneumonitis #ILD ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
a reticular pattern ... a reticular pattern ... #CXR #UIP #Reticular ... #Interstitial # ... Pattern #Honeycombing
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... #CXR #CTChest # ... #Usual #Interstitial ... #Pneumonitis #Reticular ... #ILD #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... bronchiolitis #Diagnosis ... #CTChest #GGO # ... #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Patterns - Differential ... Reticular: • ... Hypersensitivity Pneumonitis ... Attenuation: • Emphysema ... Differential #Diagnosis
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... Pneumonitis. ... centrilobular emphysema ... show very similar HRCT ... #Radiology #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 ... ) #Diagnosis #Radiology ... #Algorithm #ILD ... #RadiologyAssistant