CT mosaic pattern of lung attenuation: Etiologies and terminology

E. J. Stern, N. L. Muller, S. J. Swensen, T. E. Hartman

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Areas of variable lung attenuation forming a 'mosaic pattern' are occasionally seen on computed tomography (CT) or high-resolution CT (HRCT) images of the lungs. This CT mosaic pattern of lung attenuation is a nonspecific finding that can reflect the presence of vascular disease, airway abnormalities, or ground-glass interstitial or air-space infiltrates. However, it is often possible to distinguish among these categories. In small airways disease and pulmonary vascular disease, the pulmonary vessels within the lucent regions of lung are small relative to the vessels in the more opaque lung. In infiltrative diseases, the vessels are more uniform in size throughout the different regions of lung attenuation. The distinction of small airways disease from primary vascular disease requires the use of paired inspiratory/expiratory CT scans. The terms 'mosaic perfusion' or 'mosaic oligemia.' have also been used to describe this heterogeneous pattern of lung attenuation. We believe that the term 'mosaic pattern of lung attenuation' is preferable when describing areas of variable lung attenuation because the term 'mosaic perfusion' implies pulmonary vascular pathology.

Original languageEnglish (US)
Pages (from-to)294-297
Number of pages4
JournalJournal of Thoracic Imaging
Volume10
Issue number4
StatePublished - 1995

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Terminology
Tomography
Lung
Vascular Diseases
Perfusion
Lung Diseases
Glass
Blood Vessels
Air
Pathology

Keywords

  • Airways disease
  • Ground-glass
  • Mosaic
  • Pulmonary vascular disease

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Stern, E. J., Muller, N. L., Swensen, S. J., & Hartman, T. E. (1995). CT mosaic pattern of lung attenuation: Etiologies and terminology. Journal of Thoracic Imaging, 10(4), 294-297.

CT mosaic pattern of lung attenuation : Etiologies and terminology. / Stern, E. J.; Muller, N. L.; Swensen, S. J.; Hartman, T. E.

In: Journal of Thoracic Imaging, Vol. 10, No. 4, 1995, p. 294-297.

Research output: Contribution to journalArticle

Stern, EJ, Muller, NL, Swensen, SJ & Hartman, TE 1995, 'CT mosaic pattern of lung attenuation: Etiologies and terminology', Journal of Thoracic Imaging, vol. 10, no. 4, pp. 294-297.
Stern EJ, Muller NL, Swensen SJ, Hartman TE. CT mosaic pattern of lung attenuation: Etiologies and terminology. Journal of Thoracic Imaging. 1995;10(4):294-297.
Stern, E. J. ; Muller, N. L. ; Swensen, S. J. ; Hartman, T. E. / CT mosaic pattern of lung attenuation : Etiologies and terminology. In: Journal of Thoracic Imaging. 1995 ; Vol. 10, No. 4. pp. 294-297.
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