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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 ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Diagram ... Emphysema #SignetRing #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
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... #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
Risk factors
Defining high- or low-risk is currently more difficult than it was in the old guideline.
Previously
smoking, history of lung ... characteristics alone (See Table ... #Diagnosis #Epidemiology ... #Radiology #Pulmonary ... #Fleischner #Risk
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
nodules Previous chest ... with a benign pattern ... definitive tissue diagnosis ... Society #Followup #Pulmonary ... #Nodules #RadiologyAssistant
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 ... to confirm the diagnosis ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... (Table). ... Kerley B lines on chest ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
In the lungs LV ... can be seen on a chest-film ... #Diagnosis #Radiology ... Features #Findings #Diagram ... #RadiologyAssistant