UIP is more progressive and more than 50% of patients with UIP die within 3 years. The differentiation between NSIP and UIP has tremendous prognostic implication for the patient. In the presence of a surgical biopsy showing a UIP pattern the diagnosis of IPF requires exclusion of other known causes of UIP including drug toxicities, environmental exposures (asbest), and collagen vascular diseases like RA, SLE, polyarteritis nodosa and sclerodermia.Ī long list of drugs have been implicated, but this pattern is most commonly the result of cytotoxic chemotherapeutic agents such as bleomycin, busulfan, vincristine, methotrexate, adriamycin, and carmustine (BCNU). IPF accounts for more than 60% of the cases of UIP. idiopathic), the disease is called Idiopathic pulmonary fibrosis (IPF). If the UIP pattern is of unknown cause (i.e. UIP has distinctive HRCT findings and is usually shown at lungbiopsy, when honeycombing is visible. Usual Interstitial Pneumonitis (UIP) is a histologic diagnosis. Respiratory bronchiolitis: ill defined centrilobular nodules of ground-glass opacity.Langerhans cell histiocytosis: early nodular stage before the typical cysts appear.TB: Tree-in-bud appearance in a patient with active TB.Hypersensitivity pneumonitis: centrilobular nodules, notice sparing of the subpleural area.Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.Miliary TB: random nodules of the same size.Hypersensitivity pneumonitis: ill defined centrilobular nodules.On the left some diseases with a nodular pattern. Usual Interstitial Pneumonia (UIP): basal and peripheral fibrosis, honeycombing.Ĭhronic Hypersensitivity Pneumonitis: mid zone fibrosis with mosaic pattern. Silicosis / Pneumoconiosis: predominantly centrilobular and subpleural nodules. Small cell lung cancer with nodal metastases In ' HRCT - basic interpretation' the terminology is introduced and a practical approach is given for the interpretation of HRCT examinations. Some less common interstitial lung diseases will also be presented because their HRCT presentation may be very typical, allowing for a 'spot diagnosis' in selected cases. Knowledge of both radiological and clinical appearances of these more common interstitial lung diseases is therefore important for recognizing them in daily practice and including them in the differential diagnosis. There are numerous interstitial lung diseases, but in clinical practice only about ten diseases account for approximately 90% of cases. In this review we present the key findings in the most common interstitial lung diseases. TI-RADS - Thyroid Imaging Reporting and Data System.Esophagus II: Strictures, Acute syndromes, Neoplasms and Vascular impressions.Esophagus I: anatomy, rings, inflammation.Vascular Anomalies of Aorta, Pulmonary and Systemic vessels.Contrast-enhanced MRA of peripheral vessels.Ischemic and non-ischemic cardiomyopathy.Coronary Artery Disease-Reporting and Data System.Bi-RADS for Mammography and Ultrasound 2013.Transvaginal Ultrasound for Non-Gynaecological Conditions.Acute Abdomen in Gynaecology - Ultrasound.Appendicitis - Pitfalls in US and CT diagnosis.I wish them the very best and look forward to seeing them grow and be widely recognized in the industry for not only their product but also for their enthusiasm and support they provide to their customers. I would strongly recommend PostDICOM as simply the current best Cloud PACS solution that can cater for Clinical Practice, Teaching and Research activities. We have been running our Online FRCR 2B Library on PostDICOM and also have used the platform to host several FRCR Tutorials courses and their support has been very valuable and hugely appreciated. The database/folder structure allows highly effective cataloging and sharing of cases through the share folder feature. This allows cases to be presented in a style more familiar to today’s Radiology trainees, developing their skills of systematic evaluation, interpretation and knowledge of pathology. Post Dicom allows DICOM and non-Dicom files to be imported, comprehensively anonymized and viewed with all the functions of a standard PACS workstation. Post Dicom is user-friendly, heavily customizable and has several features that makes it one of the very best Cloud PACS solutions. PostDICOM is a powerful Cloud based PACS and works across all operating systems and is perhaps the best of the lots that we have tested and used. It has a very simple and easy User Interface, features that would envy the major PACS vendors and more importantly lightning fast support from the team for deployment and trouble-shooting if need be. We at FRCR Tutorials have been an early adopter of PostDICOM and have been using it for nearly 3-4 years and I cannot recommend highly enough of this fantastic web -based PACS platform.
Post Dicom is user-friendly, heavily customizable the very best Cloud PACS solutions.
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