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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
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 ... seen and in many cases ... #Diagnosis #Radiology
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... : 'signet ring sign ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #CTChest #Nodular ... #Differential # ... Comparison #Table
Inflammatory Myopathies
Dermatomyositis
 • Onset: Subacute
 • Pattern: Proximal
 • CK: Up to 50X ULN
 • Autoantibodies:
Anti-MDA5, anti-Mi ... heliotrope, shawl sign ... Inflammatory #Myopathies #differential ... #diagnosis #comparison ... #rheumatology #table
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... UIP, NSIP and long ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Consolidation #Differential
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Diagnosis Algorithm ... dizziness, syncope, chest ... tissue (previous MI ... - High Output State ... #Arrhythmias #Cardiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern ... - Chest Radiology ... throughout the lungs ... #Chest #Radiology ... #CXR #clinical
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung Abscess - Clinical ... antibiotics once stable ... shows a small, stable ... #causes #management