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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 ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #LowAttenuation ... 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 ... Comparison #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... histiocytosis or honeycombing ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... On a chest X-ray ... to confirm the diagnosis ... #Clinical #Radiology ... RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Comparison #Table #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
bronchiectasis and subtle honeycombing ... like idiopathic pulmonary ... #Clinical #Radiology ... #CTChest #DrugInduced ... DrugRelated #Fibrosis #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
fine reticular pattern ... Notice the lack of honeycombing ... excluding UIP as diagnosis ... #Clinical #Radiology ... #CTChest #NSIP
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
with a benign pattern ... mm depends on clinical ... definitive tissue diagnosis ... #Management #Radiology ... #CTChest #Fleischner