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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 ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
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 ... UIP can be suspected ... #Pulmonary #CXR
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... morphologic findings on HRCT ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... , NSIP and long ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Consolidation #Differential
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... artifact); (G) UIP ... pattern with subpleural ... Clinical #Diagnosis #HRCT ... #Table #ILD #Findings
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
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... On a chest X-ray ... A HRCT is needed ... at the lung bases ... #Clinical #Radiology
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung ... bases. ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Pulmonary #CTChest ... #Nodular #Pattern ... NodularPattern #Differential ... #Comparison #Table