14 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 ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Cysts #Differential
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... LCH: multiple round ... bizarre shaped cysts ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
histiocytosis (LCH ... (LAM): regular cysts ... #Clinical #Radiology ... LowAttenuation #Cystic ... Comparison #Table #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
histiocytosis (LCH ... LCH is called a ... #Clinical #Radiology ... LangerhansCellHistiocytosis #LCH ... #RadiologyAssistant
In a later stage the nodules start to cavitate and become cysts.
These cysts start as round
of LCH. ... patients with LCH ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #Cavitary #RadiologyAssistant
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #Cystic ... #RadiologyAssistant
On the left radiological pathological correlation of Langerhans cell histiocytosis in respectively nodular stage and early
early and late cystic ... #Clinical #Radiology ... CTChest #Microscopy #LCH ... Histiocytosis #Cavitary #RadiologyAssistant
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
airspaces Cysts ... There are no cysts ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #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 ... pathologist may find LCH ... #Clinical #Radiology ... CTChest #Emphysema #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
caused by multiple cysts ... #Clinical #Radiology ... #CXR #CTChest # ... LCH #LangerhansCellHistiocytosis ... #RadiologyAssistant