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On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
The HRCT shows focal ... bronchiectasis ... #CXR #CTChest # ... FingerInGlove #Sign ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... preference at the lung ... The HRCT demonstrates ... #Clinical #Radiology ... TractionBronchiectasis #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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- Emphysema - Lung ... histiocytosis) - Bronchiectasis ... on the basis of HRCT ... #Diagnosis #Radiology ... Emphysema #SignetRing #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... looking at the lateral ... anteriorly in the left lung ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
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 ... #Differential #RadiologyAssistant
Bronchiectasis is defined as localized bronchial dilatation.
The diagnosis of bronchiectasis is usually based on a combination
The diagnosis of ... the peripheral lung ... A signet-ring sign ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
Batwing A bilateral ... periphery of the lung ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
Hilar and mediastinal lymphadenopathy
In sarcoidosis the common pattern is right paratracheal and bilateral hilar adenopathy ('1-2-3-sign').
In
paratracheal and bilateral ... adenopathy ('1-2-3-sign ... In lung carcinoma ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... to confirm the diagnosis ... HRCT demonstrated ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant