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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 ... Emphysema #SignetRing #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
Here are the most ... patterns on a chest ... mass - Solitary Pulmonary ... Diagnosis #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic nodules are ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... LAM is a rare lung ... airways leading to pulmonary ... #Clinical #Radiology ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
bronchiolitis: ill ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential ... Comparison #Table #RadiologyAssistant
On the left a case with multiple cysts that are evenly distributed througout the lung (
was a 40 year old ... Lymphangiomyomatosis (LAM ... #Clinical #Radiology ... #CTChest #LAM # ... #Pneumothorax #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
between acute consolidation ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Consolidation #Acute ... #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
ill-defined and ... with the differential ... The lab-findings ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... Chronic diseases are ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Table #RadiologyAssistant