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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
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Centrilobular emphysema ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Cysts #Differential ... #Comparison #Table
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
child-bearing age; no history ... ; smoking history ... Centrilobular emphysema ... #Clinical #Radiology ... #Pattern #Comparison
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... ; smoking history ... (LAM): regular cysts ... #Clinical #Radiology ... #Pattern #Comparison
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Annotated on Chest ... Lobe: Lateral, Medial ... Lobe: Superior, Medial ... #CT #CTChest #pulmonary ... #clinical #radiology
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
pneumatocele, emphysema ... we describe a chest ... #CXR #Lucency #Differential ... #Lung #Pulmonary ... #Diagnosis #Radiology
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Attenuation: • Emphysema ... HiRes #HighRes #Chest ... #radiology
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... cyst in the upper ... airways leading to pulmonary ... cyst formation ... #Clinical #Radiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... is interstitial lung ... #Diagnosis #Radiology ... #Pulmonary #CXR