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Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
, like cyst, cavity ... visible wall #CXR ... #Differential #Table ... #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... low attenuation (table ... #Diagnosis #Radiology ... #Differential #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 ... Histiocytosis #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the differential diagnosis ... the surrounding lung ... #Radiology #CTChest ... #Cavity #Cyst # ... Emphysema #Comparison #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... #Clinical #Radiology ... #CXR #CTChest # ... #SepticEmboli #Cavity ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... #Radiology #CTChest ... #Cystic #Cysts ... Differential #Comparison #Table ... #RadiologyAssistant
Pericardial cyst
Pericardial cysts are connected to the pericardium and usually contain clear fluid.
The majority of pericardial
usually contain clear ... On the chest x-ray ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
Lungcancer
10% of lungcancers cavitate, most commonly squamous cell carcinoma.
Small cell lungcancer does not cavitate.
Bronchoalveolar carcinoma, or
Here a chest x-ray ... large cavitating lung ... #Clinical #Radiology ... #CXR #LungCancer ... #Cavitary #RadiologyAssistant