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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
#Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Diagram ... Emphysema #SignetRing #RadiologyAssistant
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
the differential diagnosis ... #Diagnosis #Pathophys ... #Radiology #Pulmonary ... #CTChest #TreeInBud ... #Diagram #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
bronchiolitis: ill ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Comparison #Table #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
#Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
centrilobular region ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Comparison #Diagram ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm #ILD ... #RadiologyAssistant
Lung infarction
The radiographic features of acute pulmonary thromboembolism are insensitive and nonspecific.
The most common radiographic findings
Embolism Diagnosis ... emboli the chest ... is seen in the region ... #Clinical #Radiology ... Lung #Infarction #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
broad differential diagnosis ... probably would be pulmonary ... #Clinical #Radiology ... #CTChest #RBILD ... #RadiologyAssistant
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
and increased pulmonary ... can be seen on a chest-film ... #Diagnosis #Radiology ... Features #Findings #Diagram ... #RadiologyAssistant