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On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
Lymphangiomyomatosis, LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #LAM #LIP #Histiocytosis ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... (LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
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 ... Comparison #Table #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
Because of the cystic ... interstitial pneumonia (UIP ... Clinical #Radiology #CTChest ... UIP #UsualInterstitialPneumonia ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... UIP manifests as ... you can suspect UIP ... to confirm the diagnosis ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... HRCT demonstrates honeycombing ... Clinical #Radiology #CXR ... #UIP #CTChest # ... TractionBronchiectasis #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... histiocytosis or honeycombing ... in many cases UIP ... #Differential #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... appearance of honeycombing ... thick walls of the cysts ... preference also think 'UIP ... #CTChest #UIP #
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in UIP ... Honeycombing consisting ... multilayered thick-walled cysts ... Clinical #Radiology #CTChest ... #UIP #UsualInterstitialPneumonitis
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
subpleural honeycomb cysts ... Interstitial Pneumonia (UIP ... Clinical #Radiology #CTChest ... #UIP #UsualInterstitialPneumonia ... #RadiologyAssistant