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The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
a reticular interstitial ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Reticular #Interstitial ... #Pattern #Honeycombing
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... pattern on a CXR ... #Diagnosis #Radiology ... Pattern #Differential
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
a reticular pattern ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular ... Pattern #Honeycombing
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
histiocytosis) - Bronchiectasis ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
the second reticular ... feature of usual interstitial ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
- Reticular interstitial ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... pattern or a cystic ... #Clinical #Radiology ... #CXR #CTChest # ... Cystic #Interstitial
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
subpleural honeycomb cysts ... #Clinical #Radiology ... #CTChest #UIP # ... #Honeycombing # ... RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
densities caused ... thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest # ... #Usual #Interstitial
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Patterns - Differential ... Reticular: • ... Lymphangitic Carcinoma, Interstitial ... Differential #Diagnosis ... #pulmonary #radiology