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On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... Langerhans cell histiocytosis ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #LAM #LIP #Histiocytosis
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Langerhans cell histiocytosis ... Cystic LCH: - LAM ... : round cysts, evenly ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Langerhans cell histiocytosis ... multiple thick walled cysts ... (LAM): regular cysts ... #Clinical #Radiology ... LowAttenuation #Cystic
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
Langerhans' cell histiocytosis ... bizarre shaped cysts ... #Clinical #Radiology ... LangerhansCellHistiocytosis #Histiocytosis ... #Cystic #RadiologyAssistant
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
Langerhans cell histiocytosis ... commonly seen) - Cystic ... airspaces Cysts ... There are no cysts ... #Clinical #Radiology
On the left radiological pathological correlation of Langerhans cell histiocytosis in respectively nodular stage and early
Langerhans cell histiocytosis ... early and late cystic ... #Clinical #Radiology ... LangerhansCellHistiocytosis #Late #Histiocytosis
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... Langerhans cell histiocytosis ... #Diagnosis #Radiology ... TractionBronchiectasis #Cysts
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... Langerhans cell histiocytosis ... LCH is called a cystic ... #Clinical #Radiology ... #CXR #CTChest #Cystic
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Langerhans cell histiocytosis ... 90% are smokers, cysts ... #Clinical #Radiology ... Lymphangiomyomatosis #LAM #Cystic
On the left a case with multiple round and bizarre shaped cysts.
There was an upper lobe
bizarre shaped cysts ... Langerhans cell histiocytosis ... #Clinical #Radiology ... LangerhansCellHistiocytosis #Langerhans #Histiocytosis