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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
and cardiogenic pulmonary ... chronic eosinophilic pneumonia ... and UIP. ... #Differential #Table ... Central #Peripheral #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... is seen in: - UIP ... - Aspiration - Pulmonary ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
These include: - Emphysema ... Lung cysts (LAM, LIP ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... #SignetRing #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... findings of NSIP, UIP ... Diagnosis #Radiology #Pulmonary ... #CTChest #Idiopathic ... ILD #Findings #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Chronic eosinophilic pneumonia ... Chronic eosinophilic pneumonia ... Radiology #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... low attenuation areas ... Radiology #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... low attenuation areas ... Radiology #HRCT #CTChest ... Pattern #Comparison #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 ... Diagnosis #Radiology #CTChest ... Differential #Comparison #Table ... #RadiologyAssistant
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... Pulmonary teaching ... was admitted for pneumonia ... drain on POCUS ... #pulmonary #respiratory
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... fibrosis as in UIP ... Diagnosis #Radiology #Pulmonary ... #CTChest #Consolidation ... #Differential #RadiologyAssistant