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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 ... findings. ... #Diagnosis #Radiology ... Emphysema #SignetRing #RadiologyAssistant
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 ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
on HRCT and histology ... vascular diseases (e.g ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... Pulmonary edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
also uncommon HRCT-presentations ... some of them the old ... #Diagnosis #Radiology ... SHITFACED #Mnemonic #HRCT ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... there additional findings ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... to confirm the diagnosis ... at the lung bases ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
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 ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... or multifocal ill-defined ... #Diagnosis #Radiology ... Consolidation #Patterns ... #RadiologyAssistant
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
highly significant finding ... the cases the lung ... the ground-glass pattern ... #Clinical #Radiology ... GroundGlass #GGO #RadiologyAssistant