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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #ChestCT #Differential ... #Table #Distribution
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
figger out what the pathology ... #CXR #Lucency #Differential ... #Table #CavitaryLesion ... Lung #Pulmonary ... #Diagnosis #Radiology
Water Lily Sign (Camalote Sign) on Chest CT
 • Hydatid cyst in the lung with a
Water Lily Sign ... cyst in the lung ... • DDx: Hydatid cyst ... #Pulmonary #diagnosis ... #radiology #clinical
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Comparison #Table ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
in the proper clinical ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... When the cysts have ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... cyst in the upper ... airways leading to pulmonary ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant