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On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #LAM #LIP ... Histiocytosis #RadiologyAssistant
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 ... Comparison #Table #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 ... feeding vessel sign ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
These images are of a patient who had widespread bronchopneumonia and was on ventilation.
During follow up
During follow up ... was re-aerated #Clinical ... #Radiology #CXR ... #Total #Lung #Collapse ... MucousPlugging #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
particularly at the lung ... to confirm the diagnosis ... pattern at the lung ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
There is an atelectasis of the left upper lobe.
You would not expect the apical region to
creep all the way up ... #Clinical #Radiology ... Lateral #LUL #Lobar #Collapse ... #Luftsichel #Sign ... LuftsichelSign #RadiologyAssistant
There is a right lower lobe atelectasis.
Notice the abnormal right border of the heart.
The right interlobar
surrounded by aerated lung ... but by the collapsed ... On a follow-up chest ... #Clinical #Radiology ... MucousPlugging #Resolution #RadiologyAssistant
Total atelectasis
The chest x-ray shows total atelectasis of the right lung due to mucus plugging.
Notice the
Re-aeration on follow-up ... atelectasis of a lung ... #Clinical #Radiology ... #CXR #Total #Lung ... #Collapse #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
can heal and end up ... the surrounding lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
) Differential diagnosis ... throughout the whole lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... Fibrosis #Mimic #ILD #RadiologyAssistant