9 results
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Langerhans cell histiocytosis ... (LCH): multiple ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Langerhans cell histiocytosis ... Nodular LCH: - Sarcoidosis ... Cystic LCH: - LAM ... #Radiology #CTChest ... #Differential #Comparison
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
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
or a cystic pattern ... (LCH). ... LCH is called a ... of such cases a HRCT ... LangerhansCellHistiocytosis #LCH
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Langerhans cell histiocytosis ... before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... The cystic pattern ... Langerhans cell histiocytosis ... #Diagnosis #Radiology
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Langerhans cell histiocytosis ... on the basis of HRCT ... #Diagnosis #Radiology ... Differential #Diagram #Comparison
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Langerhans cell histiocytosis ... before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #Differential #Comparison
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
is a reticular patern ... caused by multiple cysts ... challenging differential diagnosis ... #Clinical #Radiology ... #CXR #CTChest #LCH