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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... 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 ... #Radiology #Pulmonary ... #Upper #Lower #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #Differential #Comparison ... #Table #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Hilar and mediastinal lymphadenopathy
In sarcoidosis the common pattern is right paratracheal and bilateral hilar adenopathy ('1-2-3-sign').
In
sarcoidosis the common pattern ... In lung carcinoma ... #Diagnosis #Radiology ... #Pulmonary #Mediastinal ... #Differential #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... or multifocal ill-defined ... #Diagnosis #Radiology ... Consolidation #Patterns ... #RadiologyAssistant
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
80 - 90% of all diagnoses ... some of them the old ... #Diagnosis #Radiology ... #Pulmonary #SHITFACED ... Mnemonic #HRCT #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
structures of the lung ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant