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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
attenuation or air-filled ... cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pneumonitis: ill defined centrilobular ... before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #Differential #Comparison
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... ring sign'. - Centrilobular ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Differential #Comparison
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... associated pulmonary ... air, but occasionally ... #Clinical #Diagnosis ... #Radiology #CTChest
The distribution of nodules shown on HRCT is the most important factor in making an accurate
making an accurate diagnosis ... structures of the lung ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Comparison
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
Notice the air-fluid ... cyst in the upper ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology
Air Crescent Sign on Chest CT
 • Crescentic or circumferential rim of radiolucent airspace within a
Air Crescent Sign ... consolidation or nodular ... Crescent #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
Notice the air-fluid ... cyst in the upper ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology
It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
-
There are two diagnostic ... expiratory scans for air ... penicillamine) #Clinical ... #Radiology #CTChest ... #Attenuation #Comparison