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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
attenuation or ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... edema #Diagnosis ... #HRCT #ChestCT ... #Upper #Lower #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... On HRCT there are ... , high and low attenuation ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm #ILD ... #RadiologyAssistant
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
also uncommon HRCT-presentations ... some of them the old ... #Pulmonary #SHITFACED ... #Mnemonic #HRCT ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic nodules are ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Differential #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
abnormally low attenuation ... the other hand, mild ... difficult to detect on HRCT ... Clinical #Radiology #CTChest ... PanlobularEmphysema #RadiologyAssistant
Mosaic attenuation
The term 'mosaic attenuation' is used to describe density differences between affected and non-affected lung
There are patchy ... thromboembolic disease #Diagnosis ... #Radiology #Pulmonary ... #CTChest #MosaicAttenuation ... #Differential #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... densities iin the left lung ... , which are probably ... cavitation in the right lung ... SepticEmboli #Cavity #RadiologyAssistant