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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 ... findings. ... #Diagnosis #Radiology ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... Pulmonary edema #Diagnosis ... #HRCT #ChestCT ... #Differential #Table ... #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 ... low attenuation (table ... #Diagnosis #Radiology ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... listed in the table ... on HRCT and histology ... #Diagnosis #Radiology ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
a predominant finding ... diagnosis (Table ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... show very similar HRCT ... findings ... throughout the whole lung ... #Clinical #Diagnosis
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... dealing with the differential ... The lab-findings ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
RB-ILD with subtle HRCT-findings ... these non-specific CT ... is a broad differential ... diagnosis and additional ... #Clinical #Radiology
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
rare idiopathic lung ... findings in AIP ... suggestive of the diagnosis ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD #RadiologyAssistant
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Incidental Finding ... The differential ... #Clinical #PCC # ... Radiology #CXR # ... Oleothorax #NEJM