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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... findings. ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... fibrosis. ... bronchiectasis, and honeycombing ... Clinical #Diagnosis #HRCT ... #Table #ILD #Findings
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... histiocytosis or honeycombing ... #Diagnosis #Radiology ... #Pulmonary #CXR
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
histologic pattern of pulmonary ... fibrosis. ... On a chest X-ray ... A HRCT is needed ... #Clinical #Radiology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... combinations of fibrosis ... on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
highly significant finding ... the lung disease ... findings of fibrosis ... bronchiectasis and honeycombing ... #Clinical #Radiology
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... chronic HP (right) Differential ... show very similar HRCT ... findings ... throughout the whole lung
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
walls composed of fibrous ... and subpleural lung ... This finding can ... #Pulmonary #Honeycombing ... #Differential #
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
emphysema, bulla, honeycombing ... we describe a chest ... #CXR #Lucency #Differential ... #Pulmonary #Diagnosis ... #Radiology