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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 ... #Diagram #Comparison
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
fibrosis. ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung ... Correlation #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
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... about imaging findings ... in interstitial lung ... #Diagnosis #Radiology ... #Pulmonary #CXR
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
show very similar HRCT ... findings ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... bronchiectasis due to fibrosis ... lymphadenopathy #Clinical ... #Radiology #CTChest ... #Pneumonitis #ILD
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... or interstitial lung ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest ... #GroundGlass #Differential
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
No pathological findings ... ) Day 2 - some pulmonary ... involvement, with “white lung ... structures help in the differential ... #Clinical #Radiology
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
highly significant finding ... potentially treatable lung ... the cases the lung ... findings of fibrosis ... #Clinical #Radiology