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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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The fourth pattern ... attenuation or ... - Emphysema - Lung ... pattern can be ... on the basis of HRCT
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... disease comes from HRCT ... On HRCT there are ... , high and low attenuation ... is interstitial lung
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
pneumonitis are: Mosaic pattern ... and areas of low attenuation ... The HRCT shows a ... mosaic pattern ... nodules of increased attenuation
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation ... pattern 1. ... emphysema: low attenuation ... Clinical #Radiology #HRCT ... LowAttenuation #Cystic #Pattern
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation ... pattern (2) 1. ... emphysema: low attenuation ... Clinical #Radiology #HRCT ... LowAttenuation #Cystic #Pattern
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation ... pattern (2) 1. ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation ... pattern 1. ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... correlation in normal lung ... NSIP fibrotic lung ... artifact); (G) UIP pattern ... Clinical #Diagnosis #HRCT
Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
Diagnostic algorithm ... HRCT = high-resolution ... = interstitial lung ... #IPF #UIP #Algorithm
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... Radiology #Pulmonary #HRCT ... #Differential #Algorithm