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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-

#Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Diagram ... Emphysema #SignetRing #RadiologyAssistant

Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic

and cardiogenic pulmonary ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table ... Central #Peripheral #RadiologyAssistant

Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases

- Aspiration - Pulmonary ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table ... #Upper #Lower #RadiologyAssistant

Since these risk factors are numerous and have different effects on the malignancy risk, it is

malignancy [8](Table ... Diagnosis #EBM #Radiology ... #Pulmonary #Fleischner ... PulmonaryNodule #RadiologyAssistant

Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes

Diagnosis #Pathophys #Radiology ... #Pulmonary #CTChest ... #TreeInBud #Diagram ... #RadiologyAssistant

Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar

The table lists ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant

Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed

listed in the table ... #Management #Radiology ... #Differential #RadiologyAssistant

Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what

or tumor cells (Table ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant

On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary

Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Comparison #Table ... #RadiologyAssistant

Size
A solitary pulmonary nodule (SPN) is defined as a single intraparenchymal lesion less than 3 cm

Size A solitary pulmonary ... listed in the table ... #EBM #Radiology ... #Pulmonary #SolitaryPulmonaryNodule ... MalignancyRate #Rate #RadiologyAssistant

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