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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 ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... show very similar HRCT ... #Clinical #Diagnosis ... #Radiology #CTChest
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Patterns - Differential ... Diagnosis Framework ... Attenuation: • Emphysema ... Differential #Diagnosis ... #pulmonary #radiology
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #CTChest #GGO #
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
diagnosis there ... without associated pulmonary ... with end-stage fibrosis ... #Clinical #Diagnosis ... #Radiology #CTChest
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 ... A HRCT is needed ... to confirm the diagnosis ... #Clinical #Radiology
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... The differential ... are confluent, HRCT ... #Clinical #Radiology ... #CTChest #GGO #
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
included in the differential ... diagnosis. ... #Clinical #Radiology ... #CTChest #Chronic ... #Pneumonitis #HypersensitivityPneumonitis
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
interstitium by fluid, fibrous ... cells results in a pattern ... diagnosis (Table ... #Diagnosis #Radiology ... #Pulmonary #HRCT
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 ... diagnosis and additional ... #Clinical #Radiology ... #CTChest #RBILD