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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, LIP ... on the basis of HRCT ... #Diagnosis #Radiology ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... predominance: UIP ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... to confirm the diagnosis ... HRCT demonstrated ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
a patient with GGO ... As in UIP (usual ... patients respond to treatment ... #Clinical #Radiology ... #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... The differential diagnosis ... are confluent, HRCT ... #Clinical #Radiology ... #CTChest #GGO #
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 ... Fibrosis #Mimic #ILD #RadiologyAssistant
Alveolar proteinosis is a rare disease characterized by filling of the alveolar spaces with PAS positive
The diagnosis is ... the suggestive HRCT ... pattern (crazy ... the advent of treatment ... #Clinical #Radiology
In the images on your left you can appreciate again the spectrum of findings seen in
fine reticular pattern ... cases, excluding UIP ... as diagnosis. ... #Clinical #Radiology ... NonspecificInterstitialPneumonia #ILD #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
The histologic pattern ... aswell as the HRCT ... suggestive of the diagnosis ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... broad differential diagnosis ... patient was coughing up ... #Clinical #Radiology ... RespiratoryBronchiolitis #ILD #RadiologyAssistant