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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... appreciate on a cest ... #Diagnosis #Radiology ... #Pulmonary #CXR
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
artifact); (G) UIP pattern ... subpleural, basal reticular ... #Clinical #Diagnosis ... #Correlation #Table ... #ILD #Findings
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Interstitial - Reticular ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #Differential #Comparison ... #Table #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... at the lung bases ... to confirm the diagnosis ... lung bases. ... #Clinical #Radiology
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... #Clinical #Radiology ... #Pattern #Comparison ... #Table #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... of reticular opacities ... (Table). ... #Diagnosis #Radiology
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... bronchiectasis, CF, ILD ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Air Bronchogram Sign on Chest CT
 • Patent airways surrounded by opacified lung
 • DDx: pna,
Air Bronchogram Sign ... edema, severe ILD ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical