14 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
decreased lung attenuation ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... #SignetRing #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... areas without walls ... Radiology #HRCT #CTChest ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... areas without walls ... Radiology #HRCT #CTChest ... Cystic #Pattern #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 ... Radiology #HRCT #CTChest ... HighAttenuation #Pattern #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 ... #Radiology #CTChest ... #Differential #Comparison ... #Table #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
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the differential diagnosis ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cavity #Cyst #Emphysema ... #Comparison #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
consolidation) low attenuation ... (emphysema, cystic ... bronchiectasis) #Diagnosis ... Pulmonary #HRCT #CTChest ... Algorithm #ILD #RadiologyAssistant
Mosaic attenuation
The term 'mosaic attenuation' is used to describe density differences between affected and non-affected lung
non-affected lung areas ... There are patchy areas ... thromboembolic disease #Diagnosis ... Radiology #Pulmonary #CTChest ... #Differential #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... with ground glass attenuation ... Radiology #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant