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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 ... #Differential #Diagram ... Emphysema #SignetRing #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 ... #Clinical #Radiology ... #CXR #CTChest # ... #SepticEmboli #Cavity ... #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
is a possible diagnosis ... LAM is a rare lung ... #Clinical #Radiology ... #CXR #Pneumothorax ... #RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
we describe a chest ... are trying to figger ... visible wall #CXR ... #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
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
Monod Sign on Chest CT
 • Air surrounding a fungal ball in a preexisting pulmonary cavity
CT • Air surrounding ... cavity • DDx: ... #Monod #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology
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
Sand Storm Sign on Chest CT
 • Diffusely dense pulmonary micronodular calcifications. Note the black pleural
CT • Diffusely ... dense pulmonary ... arrow) • DDx: PAM ... #Lung #Pulmonary ... #diagnosis #radiology
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
Lung infarction ... On the CT we can ... #Clinical #Radiology ... #CXR #CTChest # ... PulmonaryEmbolism #RadiologyAssistant
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Checklist Outline ALL ... cervical rib Check lung ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary