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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... #Differential # ... Diagram #Comparison
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... and the nodular septal ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... with interstitial lung ... in interstitial pulmonary ... #HRCT #CTChest ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... - Aspiration - Pulmonary ... #HRCT #ChestCT ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
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 ... #RadiologyAssistant
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... • Interstitial lung ... • Ventricular Septal ... ** • Atrial Septal ... Abnormalities • Chest
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Cardiogenic pulmonary ... incidental finding in HRCT ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #CTChest #LymphangiticCarcinomatosis ... Carcinomatosis #Mimic #Differential ... #Comparison #Table ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
along interlobular septa ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
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 ... #CTChest #GGO # ... #GroundGlass #Differential ... #RadiologyAssistant