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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
, LIP, Langerhans ... cell histiocytosis ... ) - Bronchiectasis ... #Diagnosis #Radiology ... #Pulmonary #CTChest
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 ... or honeycombing ... 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
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Patterns - Differential ... Reticular: • ... Attenuation: • Emphysema ... Differential #Diagnosis ... #pulmonary #radiology
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film is a reticular ... was caused by multiple ... diagnosis in this ... #Clinical #Radiology ... #Cystic #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
Langerhans cell histiocytosis ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... Chronic stage: - UIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
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