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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... - Lung cysts (LAM ... , LIP, Langerhans ... Radiology #Pulmonary #CTChest ... #RadiologyAssistant
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
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Centrilobular emphysema ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... cysts. ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... is interstitial lung ... The cystic pattern ... in many cases UIP ... #Differential #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
can heal and end up ... the surrounding lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
is a reticular patern ... caused by multiple cysts ... #Clinical #Radiology ... Histiocytosis #Cystic ... #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
second reticular pattern ... Because of the cystic ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant
Lung abnormalities mostly present as areas of increased density, which can be divided into the following
Lung abnormalities ... the following patterns ... are seen as in emphysema ... published soon: Chest ... #Patterns #RadiologyAssistant