35 results
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural ... effusion; sometimes ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... cysts. ... #Clinical #Diagnosis ... #Radiology #CTChest ... Histiocytosis #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
Split Pleura Sign on Chest CT
 • Contrast enhancement of the parietal and visceral pleura, separated
Split Pleura Sign ... by an exudative effusion ... #Sign #CT #Lung ... Pulmonary #diagnosis #radiology ... #clinical
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... bubble and the lung ... a patient with signs ... #Clinical #Radiology ... SubpulmonicEffusion #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions abutting the pleura ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
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 ... leading to pulmonary cyst ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Key findings in Lymphangiomyomatosis:
Numerous thin-walled cysts, surrounded by normal parenchyma.
Cysts range from 2mm to 5cm in
throughout the lungs ... adenopathy and pleural ... effusions (40%) ... #Clinical #Radiology ... #LAM #Cystic #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the lung will lie ... inferior part of the lung ... pericardial fat or effusion ... #Clinical #Radiology ... Cardiac #Incisura #RadiologyAssistant
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
bizarre shaped cysts ... replace normal lung ... #Clinical #Radiology ... #CTChest #LCH # ... #RadiologyAssistant