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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... , LIP, Langerhans ... on the basis of HRCT ... #Pulmonary #CTChest ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... bronchiolitis (RB-ILD ... is seen in: - UIP ... #Pulmonary #HRCT
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 ... #CTChest #UIP # ... #Pneumonitis #ILD ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... associated pulmonary ... #CTChest #Cavity ... #Cyst #Emphysema ... #Comparison #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... detected on a chest ... When the cysts have ... in many cases UIP ... #Pulmonary #CXR
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
centrilobular emphysema ... show very similar HRCT ... throughout the whole lung ... #CTChest #UIP # ... #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
On the left a chest ... findings on the chest ... thick walls of the cysts ... Whenever you see a chest ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
pneumatocele, emphysema ... we describe a chest ... with a thin wall Emphysema ... #Lung #Pulmonary ... #Diagnosis #Radiology
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
the other hand, mild ... difficult to detect on HRCT ... #Clinical #Radiology ... #CTChest #Panlobular ... #RadiologyAssistant