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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 ... LowAttenuation #Differential ... #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... HRCT #ChestCT #Differential
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Centrilobular emphysema ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... the surrounding lung ... Clinical #Diagnosis #Radiology ... #CTChest #Cavity ... #Comparison #RadiologyAssistant
Centrilobular emphysema due to smoking. The periphery of the lung is spared (blue arrows). Centrilobular artery
Centrilobular emphysema ... periphery of the lung ... #Clinical #Radiology ... #CTChest #Centrilobular ... #RadiologyAssistant
On the left a patient with RB-ILD.
The dominant feature is ground glass opacification and there are
patient with RB-ILD ... centrilobular emphysema ... #Clinical #Radiology ... #CTChest #RBILD ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
densities iin the left lung ... cavitation in the right lung ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... Clinical #Diagnosis #Radiology ... #CTChest #UIP # ... #RadiologyAssistant
Paraseptal emphysema is localized near fissures and pleura and is frequently associated with bullae formation (area
Paraseptal emphysema ... compression of adjacent lung ... #Clinical #Radiology ... #CTChest #Paraseptal ... #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 ... #CXR #Lucency #Differential ... Pulmonary #Diagnosis #Radiology