15 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... Cystic LCH: - LAM ... Centrilobular emphysema ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
LCH: multiple round ... Centrilobular emphysema ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... histiocytosis (LCH ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
HRCT findings in ... irregular or stellate nodules ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #RadiologyAssistant
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
started as small noduli ... bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH # ... #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
LCH is called a ... of such cases a HRCT ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
Emphysema, when it is severe, can mimick Langerhans cell histiosytosis.
When it extends beyond the centrilobular area
look as if it is cystic ... patients with LCH ... #Clinical #Radiology ... #CTChest #Emphysema ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
HR-pattern: reticular nodular ... low attenuation (emphysema ... , cystic) Where ... #CTChest #Interpretation ... Algorithm #ILD #RadiologyAssistant