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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... #SignetRing #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... at the lung bases ... #Clinical #Radiology ... #CXR #UIP #Reticular ... 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 ... TractionBronchiectasis #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
histiocytosis or honeycombing ... UIP can be suspected ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... centrilobular emphysema ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... reticular densities caused ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... In these cases comparison ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... without associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Comparison #RadiologyAssistant