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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 ... LowAttenuation #Differential ... #Diagram #Comparison
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... TB: Tree-in-bud appearance ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
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 ... in many cases UIP ... #Diagnosis #Radiology
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 ... in ground glass pattern ... #Pulmonary #CTChest ... #GroundGlass #Differential
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
TB: Tree-in-bud appearance ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential ... #Comparison #Table
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
rare idiopathic lung ... The histologic pattern ... aswell as the HRCT ... #Clinical #Radiology ... #CTChest #AIP #
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... show very similar HRCT ... throughout the whole lung ... #CTChest #UIP # ... Comparison #Chronic
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 ... diagnosis (Table ... #Diagnosis #Radiology ... #Pulmonary #HRCT