15 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
Fibrosis and parenchymal ... existing irreversible fibrosis ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ... ill-defined consolidations ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
bronchiectasis due to fibrosis ... Mild mediastinal ... lymphadenopathy #Clinical #Radiology ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
There is fibrosis ... hypersensitivity pneumonitis ... #Clinical #Radiology ... #CXR #Lateral # ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
typically present as multifocal ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Lobar #Diffuse #Multifocal ... Differential #Table #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
larger ones are ill-defined ... are dealing with multifocal ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Hypersensitivity Pneumonitis ... Subacute stage: - RB-ILD ... In chronic HP fibrotic ... Clinical #Diagnosis #Radiology ... #Mimic #ILD #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
lobar, diffuse or multifocal ... ill-defined opacities ... #Diagnosis #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
Multifocal Multifocal ... ill-defined opacities ... #Diagnosis #Radiology ... #CXR #Multifocal ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... combinations of fibrosis ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant