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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 ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... associated pulmonary ... #Radiology #CTChest ... Emphysema #Comparison ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
, like cyst, cavity ... a thick wall Cyst ... #Cavity #Cyst # ... Lung #Pulmonary ... #Diagnosis #Radiology
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
Honeycomb cysts ... Subpleural honeycomb cysts ... This finding can ... which subpleural cysts ... #Diagnosis #Radiology
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... #Radiology #CTChest ... #UIP #Comparison ... #Mimic #ILD #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... When the cysts have ... #Diagnosis #Radiology ... #Pulmonary #CXR
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Attenuation: • Emphysema ... Antitripsyn Def • Cysts ... #Diagnosis #pulmonary ... #radiology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... listed in the table ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Findings #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #Comparison #Table ... #RadiologyAssistant