12 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... - Lung cysts (LAM ... on the basis of HRCT ... #Diagnosis #Radiology ... Differential #Diagram #Comparison
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... low attenuation areas ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... low attenuation areas ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
with peripheral areas ... presenting as areas ... with peripheral areas ... #HRCT #CTChest ... #Comparison #Table
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
An 86-year-old woman ... sudden-onset shortness of breath ... neck (shown in video ... travels from these areas ... in subcutaneous areas
â–º
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
to widespread areas ... in the affected lung ... the other hand, mild ... difficult to detect on HRCT ... #Clinical #Radiology
Lung abnormalities mostly present as areas of increased density, which can be divided into the following
mostly present as areas ... the following patterns ... Less frequently areas ... are seen as in emphysema ... #CXR #Lung #Patterns
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... low attenuation (emphysema ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Subacute stage: - RB-ILD ... centrilobular emphysema ... show very similar HRCT ... throughout the whole lung ... #CTChest #UIP #Comparison
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... smoker with RB-ILD ... the well defined areas ... #Clinical #Radiology ... CTChest #RBILD #Comparison