8 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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- Lung cysts (LAM ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #SignetRing #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
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 ... (emphysema, cystic ... #Radiology #Pulmonary ... #HRCT #CTChest ... #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
abnormally low attenuation ... difficult to detect on HRCT ... #Clinical #Radiology ... #CTChest #Panlobular ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
centrilobular emphysema ... show very similar HRCT ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... are paraseptal emphysema ... these non-specific CT ... #Clinical #Radiology ... #CTChest #RBILD
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