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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
The cystic pattern ... UIP can be suspected ... #Pulmonary #CXR ... Pattern #Differential ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
(LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
in ground glass pattern ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest ... #GroundGlass #Differential ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung bases ... #Clinical #Radiology ... #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... On a chest X-ray ... #Clinical #Radiology ... #Interstitial # ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
Because of the cystic ... feature of usual interstitial ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
or a cystic pattern ... #Clinical #Radiology ... #CXR #CTChest # ... Cystic #Interstitial ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential #