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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 ... is interstitial lung ... #Diagnosis #Radiology ... #Pulmonary #CXR
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
- Chest Radiology ... throughout the lungs ... #Chest #Radiology ... #CXR #clinical ... #CT
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
Air Bronchogram Sign on Chest CT
 • Patent airways surrounded by opacified lung
 • DDx: pna,
CT • Patent airways ... edema, severe ILD ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
CT • Parallel, ... bronchiectasis, CF, ILD ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential #
Tree-in-Bud Sign on Chest CT
 • Multiple centrilobular nodules arranged in a linear branching pattern.
 •
CT • Multiple ... linear branching pattern ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical #tree
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... these non-specific CT ... there is a broad differential ... #Clinical #Radiology ... #CTChest #RBILD