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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... #Differential # ... Emphysema #SignetRing #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
or interstitial lung ... in ground glass pattern ... #CTChest #GGO # ... #GroundGlass #Differential ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... Hypersensitivity pneumonitis ... is seen in: - UIP ... HRCT #ChestCT #Differential ... #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 ... in many cases UIP ... Diagnosis #Radiology #Pulmonary ... RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... have specific patterns ... Diagnosis #Radiology #Pulmonary ... #CTChest #Idiopathic ... ILD #Findings #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential # ... Comparison #Table #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
subpleural and basal lung ... Clinical #Radiology #CTChest ... #UIP #UsualInterstitialPneumonitis ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
subpleural and basal lung ... areas. ... Clinical #Radiology #CTChest ... #UIP #UsualInterstitialPneumonitis ... #Interstitial #Pneumonitis
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
like idiopathic pulmonary ... patients with a UIP ... consider drug-related lung ... disease in the differential ... Clinical #Radiology #CTChest
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... On a chest X-ray ... particularly at the lung ... at the lung bases ... #Honeycombing #RadiologyAssistant