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Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... Histiocytosis #RadiologyAssistant
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
the appropriate clinical ... #Clinical #Radiology ... #CXR #CTChest # ... FingerInGlove #Sign ... #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
bronchiectasis, as in cystic ... fibrosis (CF) and ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
The diagnosis based ... #Clinical #Radiology ... #CTChest #SeptalThickening ... #CHF #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... When the cysts have ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... on Chest X-Ray Anterior ... thus important to diagnose ... #Chest #XRay #CXR ... #clinical #radiology