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
on the CXR. ... demonstrating honeycombing ... Here a CXR with ... #Honeycombing # ... RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... histiocytosis or honeycombing ... seen and in many cases ... UIP can be suspected ... #Differential #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... preference at the lung bases ... #UIP #CTChest # ... #Honeycombing # ... TractionBronchiectasis #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... Nodule - Multiple Masses ... Clinical #Radiology #CXR ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... findings of NSIP, UIP ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... reticular densities caused ... Clinical #Radiology #CXR ... Pneumonitis #Reticular #ILD ... #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
characterized by diffuse ... The histologic pattern ... characteristics are diffuse ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
fine reticular pattern ... Notice the lack of honeycombing ... , excluding UIP ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
In most cases these ... to segmental, diffuse ... small and fill up ... Diagnosis #Radiology #CXR ... #Differential #RadiologyAssistant