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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 ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... : round cysts, evenly ... #Radiology #CTChest ... #Cystic #Cysts ... #Differential #Comparison
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... When the cysts have ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
, like cyst, cavity ... a thick wall Cyst ... CavitaryLesion #Cavity #Cyst ... #Lung #Pulmonary ... #Diagnosis #Radiology
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
them from cysts ... the surrounding lung ... associated pulmonary ... #Radiology #CTChest ... Emphysema #Comparison
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
Honeycomb cysts ... Subpleural honeycomb cysts ... which subpleural cysts ... #Diagnosis #Radiology ... #Pulmonary #Honeycombing
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... On a chest X-ray ... to confirm the diagnosis ... #Clinical #Radiology ... #CXR #UIP #Reticular
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Diagnosis Framework ... Attenuation: • Emphysema ... Antitripsyn Def • Cysts ... #Diagnosis #pulmonary ... #radiology
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 ... #UIP #Comparison