11 results
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... ): uniform cysts ... bizarre shaped cysts ... #HRCT #CTChest ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
multiple thick walled cysts ... Lymphangiomyomatosis (LAM ... ): regular cysts ... #HRCT #CTChest ... #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... cysts. ... #CTChest #Cystic ... #Comparison #LAM ... Histiocytosis #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... on the basis of HRCT ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... : round cysts, evenly ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... cyst in the upper ... LAM is a rare lung ... leading to pulmonary cyst ... #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... low attenuation (table ... When the cysts have ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Key findings in Lymphangiomyomatosis:
Numerous thin-walled cysts, surrounded by normal parenchyma.
Cysts range from 2mm to 5cm in
Numerous thin-walled cysts ... Cysts range from ... Cysts are distributed ... throughout the lungs ... #LAM #Cystic #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
attached to the chest ... cyst in the upper ... LAM is a rare lung ... leading to pulmonary cyst ... #RadiologyAssistant