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The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Pattern #Honeycombing ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
histiocytosis) - Bronchiectasis ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #TractionBronchiectasis
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
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Pattern #Differential ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... to confirm the diagnosis ... #Clinical #Radiology ... #Interstitial # ... Pattern #Honeycombing
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... predominance: UIP ... #Radiology #Pulmonary ... #CTChest #GGO # ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #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
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
bronchovascular interstitium ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Algorithm #RadiologyAssistant
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
there is traction bronchiectasis ... fibrosis with honeycombing ... #Clinical #Radiology ... #CTChest #NSIP ... GroundGlass #GGO #RadiologyAssistant