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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
is reticular. ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
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 ... Diagnosis #Clinical #Radiology ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... manifests as a reticular ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
shows diffuse areas ... and some mosaic pattern ... Reticular abnormalities ... DesquamativeInterstitialPneumonia #ILD ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
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 ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
pattern. ... cases, excluding UIP ... #Clinical #Radiology ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
The histologic pattern ... There are areas ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... patient was coughing up ... probably would be pulmonary ... #Clinical #Radiology ... #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
like idiopathic pulmonary ... patients with a UIP ... pattern or NSIP ... #Clinical #Radiology ... DrugRelated #Fibrosis #RadiologyAssistant