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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On HRCT there are ... on a CXR. ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
In many cases a HRCT ... #Clinical #Radiology ... #CXR #Sarcoidosis ... #Interstitial #Pattern ... #RadiologyAssistant
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... - Innumerable, bilateral ... Loculated effusion or empyema ... xray #clinical #radiology ... #CXR
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... A HRCT is needed ... HRCT demonstrated ... #Clinical #Radiology ... #Honeycombing #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 ... low attenuation (emphysema ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Algorithm #ILD #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
Pulmonary vessels ... can be very subtle ... difficult to detect on HRCT ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
HRCT-findings. ... The dominant pattern ... are paraseptal emphysema ... #Clinical #Radiology ... RespiratoryBronchiolitis #ILD #RadiologyAssistant
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
findings are: - bilateral ... heart size - subtle ... are dealing with pulmonary ... #Clinical #Radiology ... #CXR #CHF #RadiologyAssistant