31 results
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... Hypersensitivity pneumonitis ... HRCT #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
These include: - Emphysema ... Radiology #Pulmonary #CTChest ... LowAttenuation #Differential ... TractionBronchiectasis #Cysts #Emphysema ... #SignetRing #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
hypersensitivity pneumonitis ... Mosaic pattern with areas ... atenuation and areas ... Radiology #CXR #CTChest ... Chronic #Fibrosis #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 ... 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 ... 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 ... Diagnosis #Radiology #CTChest ... Cystic #Cysts #Differential ... Comparison #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity pneumonitis ... Hypersensitivity pneumonitis ... Radiology #Pulmonary #CTChest ... NodularPattern #Differential ... Comparison #Table #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
and basal lung areas ... Clinical #Radiology #CTChest ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
This patient presented with acute dyspnoe and a normal chest film (not shown).
The HRCT at presentation
shows lobular areas ... hypersensitivity pneumonitis ... Clinical #Radiology #CTChest ... Hypersensitivity #Pneumonitis ... HypersensitivityPneumonitis #Resolution #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
and basal lung areas ... Clinical #Radiology #CTChest ... #Interstitial #Pneumonitis ... LowerLungPredominance #ILD #RadiologyAssistant