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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 ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... is interstitial lung ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... , pulmonary congestion ... artifact); (G) UIP pattern ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Upper #Lower #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
in differential diagnosis ... the reticular pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #RadiologyAssistant
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
also uncommon HRCT-presentations ... #Diagnosis #Radiology ... #Pulmonary #SHITFACED ... #Mnemonic #HRCT ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... A HRCT is needed ... to confirm the diagnosis ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
RV Thrombus on POCUS Echocardiogram in a patient with Pulmonary Embolism

It's a little fuzzy but if
RV Thrombus on POCUS ... a patient with Pulmonary ... this parasternal long ... #PulmonaryEmbolism ... Echocardiogram #POCUS #Clinical
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular pattern ... are visible, the pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Differential #Algorithm #RadiologyAssistant