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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 ... HRCT #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the lung will lie ... inferior part of the lung ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #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
On the left a patient with rheumatoid arthritis and bilateral peripheral consolidations as a result of
arthritis and bilateral ... #Clinical #Radiology ... #CTChest #COP # ... RheumatoidArthritis #ILD ... #RadiologyAssistant
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
On the left a patient who complained of arthritic pain.

There are multiple small bilateral peripheral consolidations.
The
multiple small bilateral ... #Clinical #Radiology ... #CTChest #COP # ... Organizing #Pneumonia #ILD ... #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
Batwing A bilateral ... periphery of the lung ... #Diagnosis #Radiology ... #CXR #Batwing #Differential ... #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
subpleural and basal lung ... #Clinical #Radiology ... #CTChest #UIP # ... #Pneumonitis #ILD ... #RadiologyAssistant
Hilar and mediastinal lymphadenopathy
In sarcoidosis the common pattern is right paratracheal and bilateral hilar adenopathy ('1-2-3-sign').
In
paratracheal and bilateral ... In lung carcinoma ... #Diagnosis #Radiology ... Lymphadenopathy #Differential ... #RadiologyAssistant