17 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
Fibrosis and parenchymal ... The HRCT shows a ... existing irreversible fibrosis ... #Clinical #Radiology ... #CXR #CTChest #
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
specific interstitial pneumonitis ... result of massive fibrosis ... #Clinical #Radiology ... #HRCT #CTChest ... HighAttenuation #Pattern #Comparison
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... or interstitial lung ... Hypersensitivity pneumonitis ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Hypersensitivity Pneumonitis ... show very similar HRCT ... Clinical #Diagnosis #Radiology ... #CTChest #UIP # ... Comparison #Chronic
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary fibrosis ... On a chest X-ray ... A HRCT is needed ... #Clinical #Radiology ... #CXR #UIP #Reticular
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... bronchiectasis due to fibrosis ... lymphadenopathy #Clinical #Radiology ... #CTChest #UIP # ... #Interstitial #Pneumonitis
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... combinations of fibrosis ... findings of NSIP, UIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest
On the left a chest film of a patient with UIP due to IPF.
The findings on
volume loss and fibrotic ... changes in the basal lung ... #Clinical #Radiology ... #CXR #CTChest # ... #Interstitial #Pneumonitis
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... On HRCT there are ... is interstitial lung ... in many cases UIP ... #Diagnosis #Radiology