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On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... seen and in many cases ... UIP can be suspected ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
- Reticular interstitial ... Nodule - Multiple Masses ... Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... indicates unknown cause ... findings of NSIP, UIP ... #Diagnosis #Radiology ... ILD #Findings #RadiologyAssistant
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
The case on the ... subpleural honeycomb cysts ... typical for Usual Interstitial ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
Because of the cystic ... feature of usual interstitial ... pneumonia (UIP) ... #Clinical #Radiology ... UsualInterstitialPneumonia #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
multilayered thick-walled cysts ... lymphadenopathy #Clinical ... #Radiology #CTChest ... #Usual #Interstitial ... Pneumonitis #ILD #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung bases ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Reticular #Interstitial ... TractionBronchiectasis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
In many cases you ... to confirm the diagnosis ... #Clinical #Radiology ... #Interstitial # ... #Honeycombing #RadiologyAssistant