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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #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
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
child-bearing age; no history ... cysts; smoking history ... #Clinical #Radiology ... #HRCT #CTChest ... Cystic #Pattern #Comparison
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
cysts; smoking history ... #Clinical #Radiology ... #HRCT #CTChest ... Cystic #Pattern #Comparison
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
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Vessel Sign on Chest ... CT • Distinct pulmonary ... leading into a lung ... #Pulmonary #diagnosis ... #radiology #clinical
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential
Posterior Mediastinal Mass - Differential Diagnosis
 • Neurofibroma
 • Neurosarcoma
 • Neuroblastoma
 • Ganglioneuroma
 • Meningocele
Mediastinal Mass - Differential ... Diagnosis • Neurofibroma ... • Small cell lung ... #Diagnosis #pulmonary ... #radiology #chest
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... sarcoidosis, mets to the lung ... Halo #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical