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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 ... cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... 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 ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... #Pulmonary #CTChest
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
a patient with GGO ... As in UIP (usual ... fibrosis with honeycombing ... #Clinical #Radiology ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... particularly at the lung ... at the lung bases ... #Clinical #Radiology ... RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Honeycombing # ... TractionBronchiectasis #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
histiocytosis or honeycombing ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
yellow arrow); (E) NSIP ... artifact); (G) UIP ... pattern with subpleural ... bronchiectasis, and honeycombing ... #Clinical #Diagnosis
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
arthritis findings of NSIP ... , UIP, OP and LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
fine reticular pattern ... Notice the lack of honeycombing ... cases, excluding UIP ... #Clinical #Radiology ... NonspecificInterstitialPneumonia #ILD #RadiologyAssistant
The predominant finding is ground glass opacity (GGO).
There is very subtle traction bronchiectasis, indicating that the
glass opacity (GGO ... distribution of UIP ... common interstitial lung ... #Clinical #Radiology ... NonspecificInterstitialPneumonia #ILD #RadiologyAssistant