16 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Langerhans cell histiocytosis ... Nodular LCH: - Sarcoidosis ... : round cysts, evenly ... #Diagnosis #Radiology ... #Cysts #Differential
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 ... #LAM #LIP #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 ... #Diagram #Comparison ... TractionBronchiectasis #Cysts
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 ... #Pattern #Comparison
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
between cavities and cysts ... them from cysts ... Cysts occur without ... Cysts usually contain ... #Radiology #CTChest
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... Langerhans cell histiocytosis ... before the typical cysts ... #Clinical #Radiology ... #Pattern #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 ... #Comparison #Table
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
irregular or stellate nodules ... airspaces Cysts ... with small nodules ... There are no cysts ... #Clinical #Radiology
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
Langerhans' cell histiocytosis ... started as small noduli ... to cavitating nodules ... bizarre shaped cysts ... #Clinical #Radiology
Langerhans cell histiocytosis is an uncommon disease characterised by multiple cysts in patients with nicotine abuse.
In
Langerhans cell histiocytosis ... characterised by multiple cysts ... patients show only nodules ... cavitate and become cysts ... #Clinical #Radiology