13 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
and areas of low ... attenuation. ... Fibrosis and parenchymal ... Radiology #CXR #CTChest ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
decreased lung attenuation ... These include: - Emphysema ... Radiology #Pulmonary #CTChest ... LowAttenuation #Differential ... #SignetRing #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation ... Centrilobular emphysema ... areas without walls ... Radiology #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation ... Centrilobular emphysema ... areas without walls ... Radiology #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation ... with peripheral areas ... end-stage with massive fibrosis ... Radiology #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Chronic Eos PNA, Fibrosis ... : • Emphysema: ... #CT #Patterns #Differential
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... To differentiate ... with end-stage fibrosis ... Diagnosis #Radiology #CTChest ... #Comparison #RadiologyAssistant
Emphysema, when it is severe, can mimick Langerhans cell histiosytosis.
When it extends beyond the centrilobular area
Emphysema, when ... LCH, but also areas ... bronchiolitis and even fibrosis ... Clinical #Radiology #CTChest ... #Emphysema #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
attenuation, that ... Signs of fibrosis ... included in the differential ... Clinical #Radiology #CTChest ... #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
of panlobular emphysema ... to widespread areas ... abnormally low attenuation ... Clinical #Radiology #CTChest ... PanlobularEmphysema #RadiologyAssistant