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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... Nodular #Pattern #Comparison ... #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... On a Chest X-Ray ... is interstitial lung ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
densities iin the left lung ... cavitation in the right lung ... #Clinical #Radiology ... #SepticEmboli #Cavity ... #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
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... #Clinical #Radiology ... #CTChest #RBILD ... #Comparison #HypersensitivityPneumonitis ... #ILD #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
show very similar HRCT ... Clinical #Diagnosis #Radiology ... #CTChest #UIP # ... Comparison #Chronic ... #RadiologyAssistant
Lungcancer
10% of lungcancers cavitate, most commonly squamous cell carcinoma.
Small cell lungcancer does not cavitate.
Bronchoalveolar carcinoma, or
Here a chest x-ray ... large cavitating lung ... #Clinical #Radiology ... LungCancer #Cancer #Cavity ... #Cavitary #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
pneumonia On the chest ... x-ray there is ... an ill-defined area ... #Clinical #Radiology ... Lobar #Pneumonia #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... Clinical #Diagnosis #Radiology ... #CTChest #Cavity ... Cyst #Emphysema #Comparison ... #RadiologyAssistant