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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Lung cysts (LAM, LIP ... 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
in ground glass pattern ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... #GroundGlass #Differential ... #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
you think of the causes ... fibrosis as in UIP ... Radiology #Pulmonary #CTChest ... Consolidation #Differential ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... seen and in many cases ... UIP can be suspected ... #Differential # ... RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... : 'signet ring sign ... central dot. - LIP ... Diagnosis #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
a patient with DIP ... and some mosaic pattern ... abnormalities and signs ... #DIP #DesquamativeInterstitialPneumonia ... #ILD #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... findings of NSIP, UIP ... , OP and LIP have ... Radiology #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... On a chest X-ray ... UIP manifests as ... can suspect UIP ... #Honeycombing #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
interstitial pneumonia (AIP ... The histologic pattern ... HRCT findings in AIP ... the diagnosis AIP ... #AIP #AcuteInterstitialPneumonia
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung bases ... Radiology #CXR #UIP ... #CTChest #Reticular ... #Interstitial #Pattern ... TractionBronchiectasis #RadiologyAssistant