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Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Table #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... #RadiologyAssistant
Septic emboli
On a follow up CXR only a small lungcyst is seen. #Clinical #Radiology #CXR #Lateral
emboli On a follow up ... CXR only a small ... #Clinical #Radiology ... #CXR #Lateral # ... Cyst #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... in many cases UIP ... #Diagnosis #Radiology ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
(LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... can heal and end up ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung cyst ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest # ... Reticular #ILD #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
The CXR is of a ... On the CXR it is ... #Clinical #Radiology ... #CXR #CTChest # ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
bronchiectasis, as in cystic ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant