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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 ... findings. ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Diagram #Comparison
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
emphysema. - Alveolar ... show very similar HRCT ... findings ... #Radiology #CTChest ... #UIP #Comparison
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... about imaging findings ... lung disease comes ... #Diagnosis #Radiology ... #Pulmonary #CXR
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... lung disease (i.e ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #CTChest #GGO #
The distribution of nodules shown on HRCT is the most important factor in making an accurate
peribronchovascular interstitium ... structures of the lung ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Comparison
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
low attenuation (emphysema ... there additional findings ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... a predominant finding ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... are paraseptal emphysema ... diagnosis and additional ... #Clinical #Radiology ... #CTChest #RBILD