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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
#Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... Histiocytosis #RadiologyAssistant
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 #Differential ... #Upper #Lower #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
the air-fluid level ... There is a lung ... airways leading to pulmonary ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
POCUS Echocardiography - Table of Cardiac Views and Windows
 • Parastemal Long-Axis View (PLAX)
 • Parasternal
POCUS Echocardiography ... Aortic Valve (AV) Level ... Mitral Valve (MV) Level ... Orientations #Atlas #Map #Comparison ... Echocardiography #Cardiology
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
narrowing the differential ... identified in the lung ... Diagnosis #Pathophys #Radiology ... #Pulmonary #CTChest ... TreeInBud #Diagram #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Comparison #Table ... #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
periphery of the lung ... most typical of pulmonary ... #Diagnosis #Radiology ... #CXR #Batwing #Differential ... #RadiologyAssistant
Hilar and mediastinal lymphadenopathy
In sarcoidosis the common pattern is right paratracheal and bilateral hilar adenopathy ('1-2-3-sign').
In
In lung carcinoma ... #Diagnosis #Radiology ... #Pulmonary #Mediastinal ... Lymphadenopathy #Differential ... #RadiologyAssistant
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... Differential Bilat ... : Pulmonary edema ... Lung POCUS shows ... #POCUS #clinical