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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 ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
Here are the most common examples of these four patterns on a chest x-ray (click image
interstitial opacities - Fine ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Cystic LCH: - LAM ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... in the proper clinical ... #Clinical #Radiology ... #CXR #CTChest #
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... #Radiology #differential ... #diagnosis #pulmonary ... #CXR #clinical ... #CT
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential ... #Comparison #Table
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Sand Storm Sign on Chest CT
 • Diffusely dense pulmonary micronodular calcifications. Note the black pleural
CT • Diffusely ... dense pulmonary ... arrow) • DDx: PAM ... #diagnosis #radiology ... #clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... Activate cath lab ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
CT • Parallel, ... bronchiectasis, CF, ILD ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical