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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
lung disease comes ... lung disease and ... The cystic pattern ... When the cysts have ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... pneumonias (IIPs ... pneumonia refers ... Radiology #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
changes in the basal lung ... thick walls of the cysts ... UsualInterstitialPneumonitis #Usual #Interstitial ... #Pneumonitis #Reticular ... #ILD #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
interstitial pattern ... preference at the lung ... Radiology #CXR #UIP #CTChest ... #Reticular #Interstitial ... TractionBronchiectasis #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
represents the second reticular ... feature of usual interstitial ... pneumonia (UIP) ... Clinical #Radiology #CTChest ... UsualInterstitialPneumonia #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... or a reticular ... Radiology #CXR #CTChest ... #Cystic #Interstitial ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Diagnosis Framework Reticular ... Lymphangitic Carcinoma, Interstitial ... Edema, Hemorrhage, Pneumonia ... Hypersensitivity Pneumonia ... Antitripsyn Def • Cysts
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... in a pattern of reticular ... lung disease, it ... Pulmonary #HRCT #CTChest ... #Differential #RadiologyAssistant
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
skin (esp. over areas ... Ulcers, Livedo reticularis ... friction rub audible Lungs ... tends to cause interstitial ... lung disease/pulmonary
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
subpleural and basal lung ... areas. ... Clinical #Radiology #CTChest ... UsualInterstitialPneumonitis #Usual #Interstitial ... Pneumonitis #ILD #RadiologyAssistant