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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
diseases with a ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
the left we see a ... The HRCT shows focal ... #Clinical #Radiology ... #CXR #CTChest # ... FingerInGlove #Sign
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... Centrilobular emphysema ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... On a Chest X-Ray ... #Diagnosis #Radiology ... #Pulmonary #CXR
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
, it is likely a ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
chest X-ray, we ... #CXR #Lucency #Differential ... #Table #CavitaryLesion ... Cavity #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
low attenuation (emphysema ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Interpretation ... #Algorithm #ILD
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Infarction • Stable ... ChestPain #Noncardiac #Cardiology ... #Differential #
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
thickening, usually focal ... ground-glass opacity with a ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table