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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 ... low attenuation pattern ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... histiocytosis or honeycombing ... seen and in many cases ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung bases ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Honeycombing # ... TractionBronchiectasis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... to confirm the diagnosis ... #Clinical #Radiology ... #Honeycombing # ... RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... Nodule - Multiple Masses ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
the ground-glass pattern ... bronchiectasis and honeycombing ... #Clinical #Radiology ... #CTChest #GroundGlass ... #GGO #RadiologyAssistant
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
This case is one ... fibrosis with honeycombing ... #Clinical #Radiology ... #CTChest #NSIP ... GroundGlass #GGO #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
fine reticular pattern ... Notice the lack of honeycombing ... excluding UIP as diagnosis ... #Clinical #Radiology ... #CTChest #NSIP
On the left two cases with chronic consolidation. 
There are patchy non-segmental consolidations in a subpleural
The final diagnosis ... fibrosis like honeycombing ... this #Clinical #Radiology ... #CTChest #COP # ... OrganizingPneumonia #RadiologyAssistant