15 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... #SignetRing #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... 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
Centrilobular emphysema ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... Pulmonary edema #Diagnosis ... Radiology #Pulmonary #HRCT ... #Differential #Table
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
with peripheral areas ... Clinical #Radiology #HRCT ... #CTChest #HighAttenuation ... #Pattern #Comparison ... #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Centrilobular emphysema ... #Radiology #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... low attenuation (table ... is interstitial lung ... #Differential #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
to widespread areas ... in the affected lung ... difficult to detect on HRCT ... Clinical #Radiology #CTChest ... PanlobularEmphysema #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
centrilobular emphysema ... show very similar HRCT ... throughout the whole lung ... #Radiology #CTChest ... #UIP #Comparison
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
pneumatocele, emphysema ... we describe a chest ... with a thin wall Emphysema ... #Differential #Table ... #Pulmonary #Diagnosis