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Lecture: Fibrosing ILDs - Understanding Reticular Opacities, Traction Bronchiectasis and Honeycombing
Understanding Reticular Opacities, Traction Bronchiectasis and Honeycombing
This is a lecture that I had recently recorded that discusses the 3 fundamental signs needed to recognize fibrosing ILDs.
![](https://www.ctchestreview.com/content/images/2022/09/Fig-1.jpg)
Honeycombing, reticular opacities and traction bronchiectasis are the 3 signs that allow the diagnosis of a fibrosing ILD.
Of these, reticular opacities are the most sensitive, though they can also occur in non-ILD settings.
![](https://www.ctchestreview.com/content/images/2022/09/Fig-3.jpg)
Honeycombing is the most specific, but a majority of fibrosing ILDs will not have honeycombing.
![](https://www.ctchestreview.com/content/images/2022/09/Fig-2.jpg)
Traction bronchiectasis usually defines a fibrosing ILD the best, though in acute settings, it is reversible as we have learnt with COVID-19.
![](https://www.ctchestreview.com/content/images/2022/09/Fig-4.jpg)
This basic lecture (15 mins video) discusses these signs and the way they help us diagnosis UIP, IPF, non-IPF conditions and interstitial lung abnormalities (ILAs).
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