CT scan of the Chest, HRCT Chest

Introduction

Important to make the distinction between pathology based terms and radiology based terms
https://www.youtube.com/watch?v=CPwRi6DO5VY

 

UIP

Predominantly subpleural and basal

Traction bronchiectasis

Honeycombing

 

When cause is unknown it is called IPF ( idiopathic pulmonary fibrosis)

Causes collagen vascular disease connective tissue diseases (primarily rheumatoid arthritis), drug toxicity, chronic hypersensitivity pneumonitisasbestosis and Hermansky–Pudlak syndrome.[2]

CT scan in usual interstitial pneumonia (UIP). There is interstitial thickening, architectural distortion, honeycombing and bronchiectasis.
Darel Heitkamp, MD
Usual interstitial pneumonia seen on CT scan. Honeycomb fibrosis is seen at the bases of both lungs.
Yale Rosen
Appearance of usual interstitial pneumonia (UIP) in a surgical lung biopsy at low magnification. The tissue is stained with hematoxylin (purple dye) and eosin (pink dye) to make it visible. The pink areas in this picture represent lung fibrosis (collagen stains pink). Note the “patchwork” (quilt-like) pattern of the fibrosis.
A fibroblast focus in a surgical lung biopsy of UIP. Hematoxylin-eosin stain, high magnification. The white space to the left is an airspace. The pale area to the right is a fibroblast focus. It is an area of active fibroblast proliferation within the interstitium of the lung.
Appearance of honeycomb change in a surgical lung biopsy at low magnification. The dilated spaces seen here are filled with mucin. Hematoxylin-eosin stain, low magnification.

 

NSIP

LIP

AIP

OP

COP

BOOP

DIP

RB – ILD

LCH

LAM

 

Approach to Parenchymal Lung Disease Using HRCT