Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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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 ... #Clinical #Radiology ... Pattern #Honeycombing
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
in ground glass pattern ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... #Radiology #Pulmonary ... #CTChest #GGO #
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... cysts (LAM, LIP ... low attenuation pattern ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... detected on a chest ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Pattern #Honeycombing
Usual Interstitial Pneumonia (UIP) pattern on Chest CT
75 M with progressive dyspnea. Typical usual interstitial pneumonia
pattern on Chest ... pattern: - Subpleural ... Reticulation - Honeycombing ... fibrosis = idiopathic ... radiology #pulmonary
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
second reticular pattern ... low attenuation pattern ... pneumonia (UIP) ... #Clinical #Radiology ... #CTChest #Honeycombing
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... realise, that these patterns ... findings of NSIP, UIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
as dominant pattern ... of the possible patterns ... As in UIP (usual ... from that seen in UIP ... #Clinical #Radiology
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern