11 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... pattern on a CXR ... in many cases UIP ... #Diagnosis #Radiology
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest
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 ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
- Chest Radiology ... throughout the lungs ... #Chest #Radiology ... diagnosis #pulmonary #CXR ... #clinical #CT
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 ... predominance: UIP ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... show very similar HRCT ... Clinical #Diagnosis #Radiology ... #CTChest #UIP # ... Comparison #Chronic
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... these non-specific CT ... there is a broad differential ... #Clinical #Radiology ... #CTChest #RBILD
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... decompression SVC ... interventional radiology ... bispecifics, or HSCT