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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 ... basis of HRCT findings ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... histiocytosis or honeycombing ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... particularly at the lung ... to confirm the diagnosis ... at the lung bases ... RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... preference at the lung ... bases. ... #Honeycombing # ... TractionBronchiectasis #RadiologyAssistant
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
, pulmonary congestion ... artifact); (G) UIP pattern ... bronchiectasis, and honeycombing ... #Clinical #Diagnosis ... Correlation #Table #ILD #Findings
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Atelectasis #Diagnosis ... Clinical #Radiology #CXR ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
and subpleural lung ... regardless of their cause ... This finding can ... #Diagnosis #Radiology ... #Pulmonary #Honeycombing
Based on the images alone, it is usually not possible to determine the cause of the
findings. ... nodular interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR ... #RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
lucencies within the lung ... emphysema, bulla, honeycombing ... since in many cases ... visible wall #CXR ... #Pulmonary #Diagnosis