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On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... cysts (LAM, LIP ... #Diagnosis #Radiology ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
cyst in the upper ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... in many cases UIP ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... bronchiectasis, as in cystic ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
changes in the basal lung ... thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In these cases comparison ... with old fims can ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
can heal and end up ... the surrounding lung ... #Clinical #Diagnosis ... Emphysema #Comparison ... #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 ... in the proper clinical ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant