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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 ... #Pattern #Honeycombing ... TractionBronchiectasis #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
(LAM, LIP, Langerhans ... histiocytosis) - Bronchiectasis ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular ... RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... UIP can be suspected ... #Diagnosis #Radiology ... RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
the second reticular ... interstitial pneumonia (UIP ... #Clinical #Radiology ... #CTChest #Honeycombing ... #UIP #UsualInterstitialPneumonia
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... bronchiectasis: ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
subpleural honeycomb cysts ... Interstitial Pneumonia (UIP ... #Clinical #Radiology ... #CTChest #UIP # ... #Honeycombing #
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... densities caused ... preference also think 'UIP ... #Clinical #Radiology ... UIP #UsualInterstitialPneumonitis
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... Chronic stage: - UIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
In the images on your left you can appreciate again the spectrum of findings seen in
pattern. ... , excluding UIP ... as diagnosis. ... #Clinical #Radiology ... #CTChest #NSIP