12 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... : round cysts, evenly ... : 'signet ring sign ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic
#Clinical #Radiology #CTChest #RoundedAtelectasis #Rounded #Atelectasis #CometTail #Sign #RadiologyAssistant
#Clinical #Radiology ... #CTChest #RoundedAtelectasis ... #Rounded #Atelectasis ... #CometTail #Sign ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
LCH: multiple round ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #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 ... #Comparison #Table ... #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 ... Differential #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #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
In a later stage the nodules start to cavitate and become cysts.
These cysts start as round
later stage the nodules ... as round structures ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #Cavitary #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
HR-pattern: reticular nodular ... attenuation (emphysema, cystic ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Interpretation
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
differential diagnosis (Table ... Nodular or irregular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #RadiologyAssistant