17 results
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison ... #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Diagram #Comparison ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... ; smoking history ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
The cystic pattern ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Pattern #Differential ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Cardiogenic pulmonary ... peribronchovascular interstitium ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... bronchovascular interstitium ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... , cystic) Where ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Lymphangitic Carcinoma, Interstitial ... Attenuation: • Emphysema ... #pulmonary #radiology