21 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Cystic LCH: - LAM ... : round cysts, evenly ... #Radiology #CTChest ... #Cystic #Cysts
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... ): uniform cysts ... LCH: multiple round ... bizarre shaped cysts ... #HRCT #CTChest
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
histiocytosis (LCH ... multiple thick walled cysts ... Lymphangiomyomatosis (LAM ... ): regular cysts ... #HRCT #CTChest
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... (LAM, LIP, Langerhans ... on the basis of HRCT ... #Diagnosis #Radiology ... TractionBronchiectasis #Cysts
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 ... seen and in many cases ... #Diagnosis #Radiology
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 ... #LAM #LIP #Histiocytosis
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 ... leading to pulmonary cyst ... #CXR #Pneumothorax
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
HRCT findings in ... airspaces Cysts ... There are no cysts ... #Clinical #Radiology ... #CTChest #LCH #
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
The CXR is of a ... In many of such cases ... a HRCT will give ... #Clinical #Radiology ... #CXR #CTChest #
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
the lung, like cyst ... a thick wall Cyst ... visible wall #CXR ... CavitaryLesion #Cavity #Cyst ... Lung #Pulmonary #Diagnosis