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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
These include: - Emphysema ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
the secondary pulmonary ... Pulmonary vessels ... difficult to detect on HRCT ... #Clinical #Radiology ... #CTChest #Panlobular
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
without associated pulmonary ... emphysema. ... honeycomb cysts are ... #CTChest #Cavity ... #Comparison #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... low attenuation (emphysema ... peripheral predominance Are ... #Pulmonary #HRCT ... #CTChest #Interpretation
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
centrilobular emphysema ... show very similar HRCT ... fibrotic changes are ... #CTChest #UIP # ... Comparison #Chronic
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
caused by a rigid chest ... cage may result ... Centrilobular emphysema ... edema in acute ... #STARCHASERS #radiology
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
RB-ILD with subtle HRCT-findings ... in this patient are ... paraseptal emphysema ... #Clinical #Radiology ... #CTChest #RBILD