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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
pneumonia and UIP ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... Central #Peripheral #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
(LAM, LIP, Langerhans ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
is seen in: - UIP ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... When the cysts have ... in many cases UIP ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... multilayered thick-walled cysts ... lymphadenopathy #Clinical ... #Radiology #CTChest ... Pneumonitis #ILD #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
can heal and end up ... associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... On a chest X-ray ... A HRCT is needed ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
Pericardial cyst
Pericardial cysts are connected to the pericardium and usually contain clear fluid.
The majority of pericardial
Pericardial cyst ... proximal aorta and pulmonary ... On the chest x-ray ... #Clinical #Radiology ... #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung cyst ... airways leading to pulmonary ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
On the left a chest ... a patient with UIP ... thick walls of the cysts ... #Clinical #Radiology ... Reticular #ILD #RadiologyAssistant