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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
or interstitial lung ... in ground glass pattern ... predominance: UIP ... #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 ... fibrosis. ... particularly at the lung ... at the lung bases ... #Clinical #Radiology
B-Lines in Pulmonary Fibrosis
Lung comets are usually seen in wet lungs, but do not forget that
Fibrosis Lung ... important differential ... In the latter case ... also be picked up ... #tails #clinical
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Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... with end-stage fibrosis ... #Clinical #Diagnosis ... #Cavity #Cyst # ... Emphysema #Comparison
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... throughout the whole lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
like idiopathic pulmonary ... patients with a UIP ... consider drug-related lung ... disease in the differential ... #Clinical #Radiology