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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
fibrosis. ... On a chest X-ray ... #Clinical #Radiology ... #Honeycombing # ... RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
in ground glass pattern ... predominance: UIP ... #Pulmonary #CTChest ... #Differential # ... 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
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
second reticular pattern ... composed of dense fibrous ... #Clinical #Radiology ... #CTChest #Honeycombing ... #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
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
with honeycombing ... #Clinical #Radiology ... #CTChest #NSIP ... NonspecificInterstitialPneumonia #GroundGlass ... #GGO #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
Even fibrosis as ... in UIP, NSIP and ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #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
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... chronic HP (right) Differential ... Clinical #Diagnosis #Radiology ... #CTChest #UIP # ... #Mimic #ILD #RadiologyAssistant