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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 ... LowAttenuation #Differential ... #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... edema #Diagnosis #Radiology ... #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
pneumatocele, emphysema ... with a thin wall Emphysema ... #CXR #Lucency #Differential ... #Pulmonary #Diagnosis ... #Radiology
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
the secondary pulmonary ... to widespread areas ... Pulmonary vessels ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... the surrounding lung ... without associated pulmonary ... emphysema. ... #Comparison #RadiologyAssistant
Cystic lung disease
Lung cysts are defined as radiolucent areas with a wall thickness of less than
as radiolucent areas ... #Diagnosis #Radiology ... #Pulmonary #Cystic ... #Differential # ... RadiologyAssistant
When a rib fracture heals, the callus formation may create a mass-like appearance (blue arrow).
Sometimes a
formation may create ... is necessary to differentiate ... fracture from a lung ... #Clinical #Radiology ... #Pseudotumor #RadiologyAssistant
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
and subpleural lung ... from paraseptal emphysema ... #Pulmonary #Honeycombing ... #Differential # ... RadiologyAssistant
Mosaic attenuation
The term 'mosaic attenuation' is used to describe density differences between affected and non-affected lung
areas. ... disease #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Attenuation #Differential ... #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
like idiopathic pulmonary ... consider drug-related lung ... disease in the differential ... #Clinical #Radiology ... DrugRelated #Fibrosis #RadiologyAssistant