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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
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... 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 ... histiocytosis or honeycombing ... UIP can be suspected ... #Diagnosis #Radiology ... RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... #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 ... pattern recognizable ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... densities caused ... #Clinical #Radiology ... #CXR #CTChest # ... #ILD #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... Interstitial - Reticular ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
pattern. ... Notice the lack of honeycombing ... , excluding UIP ... #Clinical #Radiology ... #CTChest #NSIP
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern. ... In many of such cases ... #Clinical #Radiology ... #CXR #CTChest # ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
The case on the ... #Clinical #Radiology ... #CTChest #UIP # ... Bronchiectasis #Honeycombing ... #RadiologyAssistant