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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Diagram
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... detected on a chest ... #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 ... Interstitial - Reticular ... mass - Solitary Pulmonary ... #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 ... #Honeycombing #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... LAM is a rare lung ... #Clinical #Radiology ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... Kerley B lines on chest ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... #Radiology #Pulmonary ... #HRCT #CTChest ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
attached to the chest ... is a possible diagnosis ... LAM is a rare lung ... #Clinical #Radiology ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
structures of the lung ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant