13 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Attenuation pattern 1. ... Honeycombing 4. ... Centrilobular emphysema ... #Clinical #Radiology ... #HRCT #CTChest
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Attenuation pattern (2) 1. ... Centrilobular emphysema ... Honeycombing. 4. ... #Clinical #Radiology ... #HRCT #CTChest
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
When the cysts have ... histiocytosis or honeycombing ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
measure less than 1 ... associated pulmonary ... emphysema. ... #Radiology #CTChest ... #RadiologyAssistant
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
Honeycombing is ... from paraseptal emphysema ... #Diagnosis #Radiology ... #Pulmonary #Honeycombing ... #Differential #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... centrilobular emphysema ... show very similar HRCT ... #Radiology #CTChest ... #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
- Differential Diagnosis ... Attenuation: • Emphysema ... Smoking, Alpha-1- ... Antitripsyn Def • Cysts ... #pulmonary #radiology
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
low attenuation (emphysema ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... Interpretation #Algorithm #ILD ... #RadiologyAssistant