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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... Nodular #Pattern #Comparison
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... Pulmonary edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
also uncommon HRCT-presentations ... 80 - 90% of all diagnoses ... some of them the old ... #Diagnosis #Radiology ... SHITFACED #Mnemonic #HRCT
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... in interstitial lung ... is interstitial lung ... #Diagnosis #Radiology
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
) Differential diagnosis ... show very similar HRCT ... throughout the whole lung ... #Radiology #CTChest ... #UIP #Comparison
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... densities iin the left lung ... cavitation in the right lung ... #Clinical #Radiology ... #CXR #CTChest #
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... smoker with RB-ILD ... #Clinical #Radiology ... #CTChest #RBILD ... #Comparison #HypersensitivityPneumonitis