27 results
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
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Empyema Necessitans ... This is Empyema ... Because Empyema ... Empyema necessitans ... Treatment of empyema
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... - Respiratory bronchiolitis ... HRCT #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
Empyema Necessitans ... This is Empyema ... Because Empyema ... @nickmmark #Empyema ... #clinical #video
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
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
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
history of severe emphysema ... Subcutaneous emphysema ... any soft tissue emphysema ... with subcutaneous emphysema ... #Subcutaneous #Emphysema
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
Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm
Cardiac:
 • Congenital Heart Disease
 •
Causes of Apparent ... Event (ALTE) - Differential ... Central Apnea Respiratory ... Sepsis • Upper Respiratory ... Infection • Empyema