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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
-
Langerhans cell histiocytosis ... ) - Bronchiectasis ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... or honeycombing ... #Diagnosis #Radiology ... Pattern #Differential ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
to confirm the diagnosis ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Interstitial # ... Pattern #Honeycombing
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
typical for Usual Interstitial ... #Clinical #Radiology ... #CTChest #UIP # ... #Honeycombing # ... RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Langerhans cell histiocytosis ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Patterns - Differential ... Lymphangitic Carcinoma, Interstitial ... Sarcoidosis • Bronchiectasis ... Differential #Diagnosis ... #pulmonary #radiology
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Langerhans cell histiocytosis ... #Clinical #Radiology ... #CXR #CTChest # ... Cystic #Interstitial ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... reticular densities caused ... #Clinical #Radiology ... #CXR #CTChest # ... #Usual #Interstitial