45 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... : round cysts, evenly ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Cysts #Differential
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... bizarre shaped cysts ... #Clinical #Radiology ... LowAttenuation #Cystic
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
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
multiple thick walled cysts ... (LAM): regular cysts ... #Clinical #Radiology ... LowAttenuation #Cystic
Liver Mass Differential Diagnosis
Solid:
 • Benign: Hepatic Hemangioma, Focal nodular hyperplasia, Hepatocellular adenoma, Regenerative nodules
 •
Cholangiocarcinoma, Metastases Cystic ... disease, Biliary cysts ... Diagnosis #hepatology #Radiology
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH #LangerhansCellHistiocytosis ... Histiocytosis #Cystic
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
commonly seen) - Cystic ... airspaces Cysts ... There are no cysts ... #Clinical #Radiology ... #CTChest #LCH #LangerhansCellHistiocytosis
In a later stage the nodules start to cavitate and become cysts.
These cysts start as round
cavitate and become cysts ... These cysts start ... bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH #LangerhansCellHistiocytosis
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... LCH is called a cystic ... In many of such cases ... #Clinical #Radiology ... Interstitial #Langerhans #LangerhansCellHistiocytosis
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... #Diagnosis #Radiology ... TractionBronchiectasis #Cysts