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On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
The HRCT shows focal ... #Clinical #Radiology ... #CXR #CTChest # ... FingerInGlove #Sign ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
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 ... Emphysema #SignetRing #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... to confirm the diagnosis ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... predominance: UIP ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #CTChest #GGO #
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... : 'signet ring sign ... central dot. - LIP ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
edema, blood or tumor ... fibrosis as in UIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
consolidation is pulmonary ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... findings of NSIP, UIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant