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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... (LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... 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 ... #Pattern #Honeycombing ... TractionBronchiectasis #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... When the cysts have ... UIP can be suspected ... #Diagnosis #Radiology
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular ... 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 #
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... thick walls of the cysts ... preference also think 'UIP ... #Clinical #Radiology ... UIP #UsualInterstitialPneumonitis
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
them from cysts ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film is a reticular ... cysts. ... diagnosis in this ... #Clinical #Radiology ... #CXR #CTChest #
In the images on your left you can appreciate again the spectrum of findings seen in
pattern. ... , excluding UIP ... as diagnosis. ... #Clinical #Radiology ... #CTChest #NSIP