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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... , LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... bronchiolitis (RB-ILD ... is seen in: - UIP ... edema #Diagnosis #Radiology
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... patients with end-stage ... Clinical #Diagnosis #Radiology ... #CTChest #Cavity ... #Cyst #Emphysema
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Centrilobular emphysema ... central dot. - LIP ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
pneumatocele, emphysema ... since in many cases ... we describe a chest ... #Differential #Table ... #Diagnosis #Radiology
On the left a chest film of a patient with UIP due to IPF.
The findings on
reticular densities caused ... thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
fibrosis as in UIP ... , NSIP and long ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
centrilobular emphysema ... throughout the whole lung ... Clinical #Diagnosis #Radiology ... #CTChest #UIP # ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
pneumonia On the chest ... weight loss or long ... #Clinical #Radiology ... AirBronchogram #RUL ... Lobar #Pneumonia #RadiologyAssistant