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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... #SignetRing #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Centrilobular emphysema ... walls, central dot ... #Radiology #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... #CXR #Comparison ... #Clinical #Lung ... #Pulmonary #Clinical
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
most typical of pulmonary ... Peripheral or subpleural ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
pneumatocele, emphysema ... we describe a chest ... with a thin wall Emphysema ... visible wall #CXR ... #Pulmonary #Diagnosis
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... without associated pulmonary ... emphysema. ... #Radiology #CTChest ... #Comparison #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
sparing of the subpleural ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential #Comparison
COVID-19 on Lung POCUS

Day 4 after COVID diagnosis. More cough & tiredness (very badly), still no
COVID-19 on Lung ... after COVID diagnosis ... still no dyspnea/chest ... yaletung #Subpleural ... #ultrasound #pulmonary
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... Pulmonary teaching ... - What’s the diagnosis ... #pulmonary #respiratory ... #Chest #Lung
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
lung regions regardless ... from paraseptal emphysema ... #Diagnosis #Radiology ... #Pulmonary #Honeycombing ... #Differential #RadiologyAssistant