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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 ... - Emphysema - Lung ... cysts (LAM, LIP ... on the basis of HRCT ... 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 ... histiocytosis or honeycombing ... in many cases UIP
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
particularly at the lung ... A HRCT is needed ... at the lung bases ... HRCT demonstrated ... honeycombing.
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... perilymphatic, random ... Radiology #Pulmonary #HRCT ... MultipleNodules #Nodules #Differential
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung ... The HRCT demonstrates ... honeycombing and ... Radiology #CXR #UIP ... #Honeycombing #
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... structures of the lung ... Radiology #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern
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 ... bronchiectasis, and honeycombing ... Clinical #Diagnosis #HRCT
Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
Diagnostic algorithm ... HRCT = high-resolution ... = interstitial lung ... pulmonary fibrosis; UIP ... #Algorithm #Diagnosis
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
second reticular pattern ... recognizable on HRCT ... low attenuation pattern ... interstitial pneumonia (UIP ... #UIP #UsualInterstitialPneumonia
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT Patterns ... - Differential ... Silicosis • Honeycombing ... Nodular: • Random ... #Differential #