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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 ... on the basis of HRCT ... findings. ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
low attenuation (emphysema ... there additional findings ... #HRCT #CTChest ... Interpretation #Algorithm #ILD ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
on HRCT and histology ... Diagnosis #Radiology #Pulmonary ... #CTChest #Idiopathic ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... in this patient are ... paraseptal emphysema ... Clinical #Radiology #CTChest ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... On HRCT there are ... based on the x-ray findings ... Diagnosis #Radiology #Pulmonary ... #Differential #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
Pulmonary vessels ... the other hand, mild ... difficult to detect on HRCT ... Clinical #Radiology #CTChest ... PanlobularEmphysema #RadiologyAssistant
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 ... findings ... Diagnosis #Radiology #CTChest ... #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... findings in AIP ... Clinical #Radiology #CTChest ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
HRCT findings in ... . - Additional findings ... Clinical #Radiology #CTChest ... Organizing #Pneumonia #ILD ... #RadiologyAssistant
On the left a case with multiple cysts that are evenly distributed througout the lung (
was a 40 year old ... combination of findings ... Lymphangiomyomatosis (LAM ... Clinical #Radiology #CTChest ... #Pneumothorax #RadiologyAssistant