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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 #
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Honeycombing 4. ... #HRCT #CTChest ... #LowAttenuation ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... Honeycombing. 4. ... #HRCT #CTChest ... #LowAttenuation ... #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... histiocytosis or honeycombing ... #Diagnosis #Radiology ... #Pulmonary #CXR ... RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... On a chest X-ray ... to confirm the diagnosis ... #Clinical #Radiology ... RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
, bulla, honeycombing ... visible wall #CXR ... #Lucency #Differential ... #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... centrilobular emphysema ... show very similar HRCT ... #Radiology #CTChest ... #UIP #Comparison
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
without associated pulmonary ... #Radiology #CTChest ... #Cavity #Cyst # ... Emphysema #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 ... there is a broad differential ... diagnosis and additional ... #CTChest #RBILD