Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... ): uniform cysts ... bizarre shaped cysts ... #Clinical #Radiology ... #HRCT #CTChest
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
multiple thick walled cysts ... ): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... : round cysts, evenly ... #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
cyst in the upper ... LAM is a rare lung ... cyst formation ... #Clinical #Radiology ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... When the cysts have ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
them from cysts ... the surrounding lung ... Cysts occur without ... associated pulmonary ... Cysts usually contain
Cystic lung disease
Lung cysts are defined as radiolucent areas with a wall thickness of less than
Cystic lung disease ... Lung cysts are ... Cystic lung diseases ... listed in the table ... #Pulmonary #Cystic
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
cyst in the upper ... LAM is a rare lung ... cyst formation ... #Clinical #Radiology ... #RadiologyAssistant