19 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... 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
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the differential diagnosis ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cavity #Cyst # ... Emphysema #Comparison #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung cyst ... is a possible diagnosis ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Comparison #Table #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
of the lung to injury ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
multilayered thick-walled cysts ... lymphadenopathy #Clinical ... #Radiology #CTChest ... #Pneumonitis #ILD ... #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... 90% are smokers, cysts ... #Clinical #Radiology ... #CTChest #Lymphangiomyomatosis ... #LAM #Cystic #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest # ... Pneumonitis #Reticular #ILD ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
attenuation (emphysema, cystic ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest ... #RadiologyAssistant