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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 ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential # ... RadiologyAssistant
Pulmonary bulla seen on chest #CT. #radiology #radiologyassistant #diagnosis #ctchest #em
Pulmonary bulla ... seen on chest #CT ... #radiology #radiologyassistant ... #diagnosis #ctchest ... #em
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the reticular pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #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 ... #Pulmonary #CTChest ... #GroundGlass #Differential ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
B-lines are visualized as hyperechoic vertical artifacts arising from the pleural line and extending off the
erasing the A-line pattern ... #Clinical #EM # ... Radiology #PCC # ... POCUS #Lung #BLines
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... there is a broad differential ... #Clinical #Radiology ... #CTChest #RBILD ... RespiratoryBronchiolitis #ILD #RadiologyAssistant
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... This post will focus ... radiograph pattern ... #Radiology #CTChest