10 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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#Diagnosis #Radiology ... #Pulmonary #CTChest ... #LowAttenuation ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
areas without walls ... #Clinical #Radiology ... HRCT #CTChest #LowAttenuation ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
areas without walls ... #Clinical #Radiology ... HRCT #CTChest #LowAttenuation ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation ... with peripheral areas ... consolidation #Clinical #Radiology ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Cardiogenic pulmonary ... with ground glass attenuation ... #Clinical #Radiology ... #Differential #Comparison ... #Table #RadiologyAssistant
Mosaic attenuation
The term 'mosaic attenuation' is used to describe density differences between affected and non-affected lung
non-affected lung areas ... There are patchy areas ... disease #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
reticular nodular high attenuation ... consolidation) low attenuation ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Cardiogenic pulmonary ... : ground glass attenuation ... #Clinical #Radiology ... Reticular #Pattern #Comparison ... #Table #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
to widespread areas ... abnormally low attenuation ... Pulmonary vessels ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant
It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
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bronchiolitis or chronic pulmonary ... right with the pulmonary ... penicillamine) #Clinical #Radiology ... MosaicAttenuation #Mosaic #Attenuation ... #Comparison #RadiologyAssistant