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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
diseases with a ... basis of HRCT findings ... Diagnosis #Radiology #Pulmonary ... #Differential #Diagram ... #Comparison #Honeycombing
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... in interstitial lung ... is interstitial lung ... Diagnosis #Radiology #Pulmonary ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
IIPs) comprise a ... have specific patterns ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... structures of the lung ... Diagnosis #Radiology #Pulmonary ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... ground-glass opacity with a ... #Comparison #Table ... #RadiologyAssistant
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
In the lungs LV ... can be seen on a ... chest-film in a ... CXR #Features #Findings ... #Diagram #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... there additional findings ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... pattern of reticular ... with interstitial lung ... predominant finding ... #Differential #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
The radiographic findings ... like idiopathic pulmonary ... pattern seen in ... consider drug-related lung ... DrugRelated #Fibrosis #RadiologyAssistant