7 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... Cystic LCH: - LAM ... : 'signet ring sign ... #Radiology #CTChest ... #Differential #Comparison
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... LCH: multiple round ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
histiocytosis (LCH ... Lymphangiomyomatosis (LAM ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison
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 ... #Pattern #NodularPattern
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
(LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
challenging differential diagnosis ... the central dot sign ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... #Radiology #Pulmonary ... #HRCT #CTChest ... #RadiologyAssistant