23 results
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... adenopathy and pleural ... effusion; sometimes ... #Clinical #Radiology ... #HRCT #CTChest
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #LAM #LIP #Histiocytosis ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... : 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic
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
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #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
Sand Storm Sign on Chest CT
 • Diffusely dense pulmonary micronodular calcifications. Note the black pleural
Note the black pleural ... ) • DDx: PAM https ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
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
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 ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant