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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 ... Differential #Diagram #Comparison ... #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 ... #Upper #Lower #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Centrilobular emphysema ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Differential #Comparison ... #Table #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Miliary TB: random ... #Clinical #Radiology ... #HRCT #CTChest ... Nodular #Pattern #Comparison ... #Table #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
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... without associated pulmonary ... Clinical #Diagnosis #Radiology ... #CTChest #Cavity ... #Comparison #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Miliary TB: random ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Estimated Medical Radiation Doses for 5 Year-Old Child

3-view ankle	0.0015 mSv	1/14th CXRs
2-view chest	0.02 mSv	1 CXRs
Anteroposterior and lateral
Doses for 5 Year-Old ... 2-view chest 0.02 ... and lateral abdomen ... #PatientInfo #Radiology ... #CT #Nuclear #Comparison
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