15 results
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
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
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
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
terms to describe areas ... pneumatocele, emphysema ... we describe a chest ... is to describe areas ... #Differential #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
to widespread areas ... the other hand, mild ... difficult to detect on HRCT ... #Clinical #Radiology ... #CTChest #Panlobular
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
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 ... #CTChest #Interpretation ... #Algorithm #ILD