8 results
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... Centrilobular emphysema ... Radiology #HRCT #CTChest ... #LowAttenuation ... #Cystic #Pattern
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... Lymphangiomyomatosis (LAM ... Radiology #HRCT #CTChest ... #LowAttenuation ... #Cystic #Pattern
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 ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Cystic LCH: - LAM ... Centrilobular emphysema ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... 90% are smokers, cysts ... Centrilobular emphysema ... Clinical #Radiology #CTChest ... #Cystic #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 ... challenging differential diagnosis ... Histiocytosis #Cystic ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... low attenuation (emphysema ... , cystic) Where ... bronchiectasis) #Diagnosis ... Pulmonary #HRCT #CTChest
Lung abnormalities mostly present as areas of increased density, which can be divided into the following
the following patterns ... are seen as in emphysema ... published soon: Chest ... #Diagnosis #Pathophys ... #RadiologyAssistant