17 results
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... low attenuation areas ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... Comparison #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
These include: - Emphysema ... on the basis of HRCT ... Radiology #Pulmonary #CTChest ... TractionBronchiectasis #Cysts #Emphysema ... #SignetRing #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... low attenuation areas ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... Comparison #Table #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
with peripheral areas ... presenting as areas ... Clinical #Radiology #HRCT ... #CTChest #HighAttenuation ... Comparison #Table #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
Mosaic pattern with areas ... atenuation and areas ... The HRCT shows a ... Radiology #CXR #CTChest ... Chronic #Fibrosis #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
of panlobular emphysema ... to widespread areas ... difficult to detect on HRCT ... Clinical #Radiology #CTChest ... PanlobularEmphysema #RadiologyAssistant
This patient presented with acute dyspnoe and a normal chest film (not shown).
The HRCT at presentation
The HRCT at presentation ... shows lobular areas ... A control HRCT ten ... Clinical #Radiology #CTChest ... HypersensitivityPneumonitis #Resolution #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... low attenuation (emphysema ... Radiology #Pulmonary #HRCT ... #CTChest #Interpretation ... Algorithm #ILD #RadiologyAssistant
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
insertion of a chest ... neck (shown in video ... the head, neck, chest ... in subcutaneous areas ... PhysicalExam #Clinical #Video
Emphysema, when it is severe, can mimick Langerhans cell histiosytosis.
When it extends beyond the centrilobular area
Emphysema, when ... LCH, but also areas ... of emphysema, respiratory ... Clinical #Radiology #CTChest ... #Emphysema #RadiologyAssistant