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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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#Diagnosis #Radiology ... #Pulmonary #CTChest ... #LowAttenuation ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
artery in the center ... Honeycombing. 4. ... #Clinical #Radiology ... #HRCT #CTChest ... #LowAttenuation
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Honeycombing 4. ... #Clinical #Radiology ... #HRCT #CTChest ... #LowAttenuation ... Cystic #Pattern #Comparison
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential #Comparison ... #Table #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
histologic pattern of pulmonary ... On a chest X-ray ... to confirm the diagnosis ... #Clinical #Radiology ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison ... Fibrosis #Mimic #ILD #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
without associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... Cyst #Emphysema #Comparison ... #RadiologyAssistant
It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
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There are two diagnostic ... penicillamine) #Clinical ... #Radiology #CTChest ... #Attenuation #Comparison ... #RadiologyAssistant