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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Diagram ... Emphysema #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... edema #Diagnosis ... #Radiology #Pulmonary ... #Upper #Lower #RadiologyAssistant
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
the differential diagnosis ... identified in the lung ... #Radiology #Pulmonary ... CTChest #TreeInBud #Diagram ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
periphery of the lung ... most typical of pulmonary ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
consolidation is pulmonary ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Hilar and mediastinal lymphadenopathy
In sarcoidosis the common pattern is right paratracheal and bilateral hilar adenopathy ('1-2-3-sign').
In
adenopathy ('1-2-3-sign ... In lung carcinoma ... #Diagnosis #Radiology ... #Pulmonary #Mediastinal ... #Differential #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
80 - 90% of all diagnoses ... some of them the old ... #Diagnosis #Radiology ... #Pulmonary #SHITFACED ... Mnemonic #HRCT #RadiologyAssistant