12 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: round cysts, evenly ... : 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
The CXR is of a ... #Clinical #Radiology ... #CXR #CTChest # ... #Langerhans #LangerhansCellHistiocytosis ... #LCH #RadiologyAssistant
In a later stage the nodules start to cavitate and become cysts.
These cysts start as round
as round structures ... #Clinical #Radiology ... #CTChest #LCH # ... LangerhansCellHistiocytosis ... Histiocytosis #Cavitary #RadiologyAssistant
On the left a case with multiple round and bizarre shaped cysts.
There was an upper lobe
with multiple round ... bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LangerhansCellHistiocytosis ... Histiocytosis #LCH #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
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Here we have a prior CXR of this patient.
The AP-film shows a right paratracheal mass.
The azygoesophageal
The large round ... #Clinical #Radiology ... #CXR #CTChest # ... Achalasia #DilatedEsophagus ... Esophagus #Aspiration #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... gren syndrome. ... #Clinical #Radiology ... #CTChest #Lymphangiomyomatosis ... #LAM #Cystic #RadiologyAssistant
he CT shows a lesion that originates in the lung.
Many would have a lungcancer on the
their differential diagnostic ... the comet tail sign ... #Clinical #Radiology ... #CTChest #RoundedAtelectasis ... #RadiologyAssistant