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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
, LIP, Langerhans ... histiocytosis) - Bronchiectasis ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... bronchiectasis: ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
interstitial pattern ... preference at the lung bases ... #Clinical #Radiology ... #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
represents the second reticular ... interstitial pneumonia (UIP ... #Clinical #Radiology ... #UIP #UsualInterstitialPneumonia ... #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 # ... UsualInterstitialPneumonia
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
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 ... to confirm the diagnosis ... #Clinical #Radiology ... #CXR #UIP #Reticular
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 ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
diagnosis there ... can heal and end up ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
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