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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
HP (right) Differential ... In chronic HP fibrotic ... #Clinical #Diagnosis ... #Radiology #CTChest ... #ILD #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... to confirm the diagnosis ... attributed to chronic ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
- Differential ... Reticular: • ... Attenuation: • Emphysema ... Diagnosis #pulmonary ... #radiology
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... low attenuation (emphysema ... #Radiology #Pulmonary ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
without associated pulmonary ... with end-stage fibrosis ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Comparison #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
interstitium by fluid, fibrous ... cells results in a pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #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 ... diagnosis and additional ... #Clinical #Radiology ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... chest film is a reticular ... diagnosis in this ... #Clinical #Radiology ... Histiocytosis #Cystic #RadiologyAssistant