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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... on the basis of HRCT ... findings. ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
CT • Distinct ... pulmonary vessel ... #Vessel #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
Findings on Chest ... CT 1. ... #Pulmonary #ChestCT ... #radiology #CTChest ... #diagnosis
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
CT • SPN or mass ... sarcoidosis, mets to the lung ... #Halo #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... about imaging findings ... in interstitial lung ... #Diagnosis #Radiology ... #Pulmonary #CXR
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... involvement of the lung ... on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Split Pleura Sign on Chest CT
 • Contrast enhancement of the parietal and visceral pleura, separated
CT • Contrast ... effusion • DDx: Empyema ... #Pleura #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
the secondary pulmonary ... Pulmonary vessels ... difficult to detect on HRCT ... #Clinical #Radiology ... #CTChest #Panlobular
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 ... there additional findings ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest