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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 ... basis of HRCT findings ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
, pulmonary congestion ... artifact); (G) UIP pattern ... #Clinical #Diagnosis ... #Correlation #Table ... #ILD #Findings
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 ... #Differential #Comparison ... #Table #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... edema: incidental finding ... #Clinical #Radiology ... #Comparison #Table
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Incidental Finding ... abnormality includes an old ... treatment for pulmonary ... #Clinical #PCC # ... Radiology #CXR #
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
very similar HRCT findings ... throughout the whole lung ... #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 ... broad differential diagnosis ... and additional clinical ... probably would be pulmonary ... #Clinical #Radiology
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... a predominant finding ... (Table). ... #Diagnosis #Radiology