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The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
interstitial pattern ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Reticular #Interstitial ... TractionBronchiectasis #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 ... #Cystic #Cysts
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... (LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... When the cysts have ... UIP can be suspected ... #Diagnosis #Radiology
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in UIP ... multilayered thick-walled cysts ... due to fibrosis ... #Radiology #CTChest ... #UIP #UsualInterstitialPneumonitis
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... fibrosis. ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
subpleural honeycomb cysts ... typical for Usual Interstitial ... Pneumonia (UIP) ... #Clinical #Radiology ... #CTChest #UIP #
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... thick walls of the cysts ... preference also think 'UIP ... #Clinical #Radiology ... UIP #UsualInterstitialPneumonitis
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
represents the second reticular ... pneumonia (UIP) ... #Clinical #Radiology ... #UIP #UsualInterstitialPneumonia ... #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Patterns - Differential ... Reticular: • ... Antitripsyn Def • Cysts ... Differential #Diagnosis ... #pulmonary #radiology