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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 ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
pneumatocele, emphysema ... with a thin wall Emphysema ... #Differential #Table ... #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... without associated pulmonary ... #Cavity #Cyst # ... Emphysema #Comparison ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
structures of the lung ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Comparison ... #Diagram #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 ... throughout the whole lung ... #UIP #Comparison ... Fibrosis #Mimic #ILD #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
are paraseptal emphysema ... these non-specific CT ... broad differential diagnosis ... #Clinical #Radiology ... RespiratoryBronchiolitis #ILD #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... (Table). ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #RadiologyAssistant