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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #LAM ... Histiocytosis #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the lung will lie ... against the anterior ... part of the lung ... #Clinical #Radiology ... Cardiac #Incisura #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung ... LAM is a rare lung ... #Clinical #Radiology ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Cystic LCH: - LAM ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
Schematic examples of the cause of acute mitral regurgitation. 
LV, left ventricle; PM, papillary mucle; SAM,
papillary mucle; SAM ... , systolic anterior ... Regurgitation #MR ... Causes #Acute #Differential ... #Cardiology
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
narrowing the differential ... identified in the lung ... Diagnosis #Pathophys #Radiology ... #Pulmonary #CTChest ... TreeInBud #Diagram #RadiologyAssistant
The azygoesophageal recess is the region inferior to the level of the azygos vein arch in
which the right lung ... between the heart anteriorly ... Clinical #Anatomy #Radiology ... #CTChest #AzygoesophagealRecess ... Azygoesophageal #Recess #RadiologyAssistant
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
be a cause of anterior ... Differential diagnosis ... shoulder #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... becoming acute anterior ... wall MI — 'widow ... period without chest ... Electrocardiogram #Diagnosis #Cardiology