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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
(LAM, LIP, Langerhans ... histiocytosis) - Bronchiectasis ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Diagram #Comparison
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
bronchiectasis: ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Differential #Comparison
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung bases ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #TractionBronchiectasis ... #RadiologyAssistant
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
subpleural honeycomb cysts ... Interstitial Pneumonia (UIP ... #Clinical #Radiology ... #CTChest #UIP # ... #Honeycombing #RadiologyAssistant
On the left another case of UIP.
The lower zone predominance is demonstrated when you scroll through
of UIP. ... #Clinical #Radiology ... #CTChest #UIP # ... #Bronchiectasis ... #Honeycombing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... UIP can be suspected ... #Diagnosis #Radiology ... RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
can heal and end up ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison ... #RadiologyAssistant
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
there is traction bronchiectasis ... As in UIP (usual ... from that seen in UIP ... #Clinical #Radiology ... #CTChest #NSIP
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
some traction bronchiectasis ... patients with a UIP ... disease in the differential ... #Clinical #Radiology ... #CTChest #DrugInduced