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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... demonstrating honeycombing ... #Clinical #Radiology ... #Honeycombing # ... RadiologyAssistant
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 ... #Honeycombing # ... TractionBronchiectasis #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... histiocytosis or honeycombing ... UIP can be suspected ... #Diagnosis #Radiology ... RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
in ground glass pattern ... #Pulmonary #CTChest ... GroundGlassOpacity #GroundGlass ... #Differential # ... RadiologyAssistant
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
fibrosis with honeycombing ... #Clinical #Radiology ... #CTChest #NSIP ... NonspecificInterstitialPneumonia #GroundGlass ... #GGO #RadiologyAssistant
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
the ground-glass pattern ... bronchiectasis and honeycombing ... #Clinical #Radiology ... #CTChest #GroundGlass ... #GGO #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
bronchiectasis and subtle honeycombing ... patients with a UIP ... disease in the differential ... #Clinical #Radiology ... #CTChest #DrugInduced
In the images on your left you can appreciate again the spectrum of findings seen in
fine reticular pattern ... Notice the lack of honeycombing ... , excluding UIP ... #Clinical #Radiology ... #CTChest #NSIP