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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 ... #Diagnosis #Radiology ... Differential #Diagram #Comparison ... #Honeycombing # ... Emphysema #SignetRing #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
bronchiectasis, no honeycombing ... Cryptogenic organizing pneumonia ... #Clinical #Radiology ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
usual interstitial pneumonia ... (UIP). ... #Clinical #Radiology ... #UIP #UsualInterstitialPneumonia ... #RadiologyAssistant
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
The case on the ... Usual Interstitial Pneumonia ... #Clinical #Radiology ... Bronchiectasis #Honeycombing ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
demonstrating honeycombing ... HRCT demonstrated honeycombing ... #Clinical #Radiology ... Interstitial #Pattern #Honeycombing ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... indicates unknown cause ... findings of NSIP, UIP ... #Diagnosis #Radiology ... ILD #Findings #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung bases ... HRCT demonstrates honeycombing ... #Clinical #Radiology ... #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
histiocytosis or honeycombing ... seen and in many cases ... UIP can be suspected ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... Clinical #Diagnosis #Radiology ... #CTChest #UIP # ... Comparison #Chronic ... Fibrosis #Mimic #ILD #RadiologyAssistant
On the left another case of UIP.
The lower zone predominance is demonstrated when you scroll through
the left another case ... of UIP. ... #Clinical #Radiology ... Bronchiectasis #Honeycombing ... #RadiologyAssistant