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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 ... , LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... bronchiolitis (RB-ILD ... is seen in: - UIP ... edema #Diagnosis #Radiology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
findings of NSIP, UIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #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 ... #Honeycombing #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
centrilobular emphysema ... throughout the whole lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... comparison with old ... during a period of CHF ... #Clinical #Radiology ... Redistribution #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
the secondary pulmonary ... Pulmonary vessels ... the other hand, mild ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... without associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Comparison #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... are paraseptal emphysema ... patient was coughing up ... #Clinical #Radiology ... #RadiologyAssistant
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
the consolidated lung ... pus is coughed up ... are usually very ill ... #Clinical #Radiology ... CavitaryPneumonia #RadiologyAssistant