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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... (LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... Honeycombing 4. ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Honeycombing. 4. ... (LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #LAM #LIP ... Histiocytosis #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... central dot. - LIP ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
Typical UIP with honeycombing and traction bronchiectasis in a patient with idiopathic pulmonary fibrosis (IPF) #Clinical
Typical UIP with ... honeycombing and ... IPF) #Clinical #Radiology ... #CTChest #UIP # ... IPF #ILD #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
Because of the cystic ... presence of small cystic ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in UIP ... Honeycombing consisting ... multilayered thick-walled cysts ... #CTChest #UIP # ... Pneumonitis #ILD #RadiologyAssistant
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
subpleural honeycomb cysts ... #Clinical #Radiology ... #CTChest #UIP # ... Bronchiectasis #Honeycombing ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
The cystic pattern ... histiocytosis or honeycombing ... in many cases UIP ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant