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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 ... Most diseases with ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
with a preference ... at the lung bases ... #Clinical #Radiology ... #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... to confirm the diagnosis ... Here a CXR with ... #Clinical #Radiology ... RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
we are dealing with ... histiocytosis or honeycombing ... in many cases UIP ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
second reticular pattern ... bronchiolar epithelium with ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
different patients with ... lung cysts. ... #Clinical #Diagnosis ... #Radiology #CTChest ... Histiocytosis #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
vascular diseases (e.g ... findings of NSIP, UIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
changes in the basal lung ... appearance of honeycombing ... film with long ... #Clinical #Radiology ... Reticular #ILD #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 ... predominance: UIP ... #Radiology #Pulmonary ... #CTChest #GGO #
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... ) Differential diagnosis ... throughout the whole lung ... #Radiology #CTChest ... Fibrosis #Mimic #ILD #RadiologyAssistant