13 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
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
#Clinical #Radiology ... #CXR #CTChest # ... ABPA #Allergic # ... FingerInGlove #Sign ... #RadiologyAssistant
#Clinical #Radiology #CTChest #RoundedAtelectasis #Rounded #Atelectasis #CometTail #Sign #RadiologyAssistant
#Clinical #Radiology ... #CTChest #RoundedAtelectasis ... #Rounded #Atelectasis ... #CometTail #Sign ... #RadiologyAssistant
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
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
the central dot sign ... #Clinical #Radiology ... #CXR #CTChest # ... LCH #LangerhansCellHistiocytosis ... #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
bronchiectasis, as in cystic ... fibrosis (CF) and allergic ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
he CT shows a lesion that originates in the lung.
Many would have a lungcancer on the
the comet tail sign ... #Clinical #Radiology ... #CTChest #RoundedAtelectasis ... #CometTail #Sign ... #RadiologyAssistant