13 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 ... #Table #RadiologyAssistant
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 ... #Table #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
with peripheral areas ... presenting as areas ... consolidation #Clinical ... #CTChest #HighAttenuation ... #Table #RadiologyAssistant
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
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 ... travels from these areas ... in subcutaneous areas ... #PhysicalExam #Clinical
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On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... is a reticular patern ... caused by multiple cysts ... #Clinical #Radiology ... #CXR #CTChest #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... before the typical cysts ... #Clinical #Diagnosis ... #CTChest #Nodular ... Differential #Comparison #Table
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... low attenuation (emphysema ... , cystic) Where ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm
Emphysema, when it is severe, can mimick Langerhans cell histiosytosis.
When it extends beyond the centrilobular area
Emphysema, when ... look as if it is cystic ... LCH, but also areas ... #Clinical #Radiology ... #CTChest #Emphysema
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
shows diffuse areas ... and some mosaic pattern ... cessation of smoking #Clinical ... #Radiology #CTChest ... DesquamativeInterstitialPneumonia #ILD