29 results
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... 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 ... (LAM): regular cysts ... Radiology #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... Centrilobular emphysema ... Diagnosis #Radiology #CTChest ... #Cystic #Cysts ... Comparison #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
These include: - Emphysema ... - Lung cysts (LAM ... Radiology #Pulmonary #CTChest ... #Emphysema #SignetRing ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
associated pulmonary emphysema ... Diagnosis #Radiology #CTChest ... #Cavity #Cyst # ... Emphysema #Comparison ... #RadiologyAssistant
Emphysema, when it is severe, can mimick Langerhans cell histiosytosis.
When it extends beyond the centrilobular area
Emphysema, when ... look as if it is cystic ... LCH, but also areas ... Clinical #Radiology #CTChest ... #Emphysema #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... caused by multiple cysts ... Emphysema however ... Histiocytosis #Cystic ... #RadiologyAssistant
On the left a patient with RB-ILD.
The dominant feature is ground glass opacification and there are
patient with RB-ILD ... centrilobular emphysema ... the precursor of emphysema ... Clinical #Radiology #CTChest ... #RadiologyAssistant
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
An 86-year-old woman ... insertion of a chest ... neck (shown in video ... the head, neck, chest ... PhysicalExam #Clinical #Video
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
low attenuation (emphysema ... , cystic) Where ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm #ILD ... #RadiologyAssistant