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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 ... Differential #Diagram #Comparison ... #SignetRing #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... Centrilobular emphysema ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Differential #Comparison
#Clinical #Radiology #CTChest #RoundedAtelectasis #Rounded #Atelectasis #CometTail #Sign #RadiologyAssistant
#Clinical #Radiology ... #CTChest #RoundedAtelectasis ... #Rounded #Atelectasis ... #CometTail #Sign ... #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #LAM ... Histiocytosis #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... #Clinical #Radiology ... #HRCT #CTChest ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... #Clinical #Radiology ... #HRCT #CTChest ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Centrilobular emphysema due to smoking. The periphery of the lung is spared (blue arrows). Centrilobular artery
Centrilobular emphysema ... periphery of the lung ... #Clinical #Radiology ... #CTChest #Centrilobular ... #RadiologyAssistant
Comet Tail Sign on Chest CT
 • Curvilinear pleural based opacity directed towards the ipsilateral hilum
Comet Tail Sign ... • DDx: Rounded atelectasis ... #Comet #Tail #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... Clinical #Diagnosis #Radiology ... #CTChest #Cavity ... #Cyst #Emphysema ... #Comparison #RadiologyAssistant