9 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: round cysts, evenly ... bronchiectasis: ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Cysts
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts ... #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 ... with traction bronchiectasis ... lymphadenopathy #Clinical ... #Radiology #CTChest ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cavity #Cyst # ... #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... 90% are smokers, cysts ... gren syndrome. ... #Clinical #Radiology ... #LAM #Cystic #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
, cystic) Where ... ) #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Algorithm #ILD ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
caused by multiple cysts ... challenging differential diagnosis ... the central dot sign ... #Clinical #Radiology ... #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
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
are paraseptal emphysema ... broad differential diagnosis ... #Clinical #Radiology ... #CTChest #RBILD ... #RadiologyAssistant