13 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Centrilobular emphysema ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... Comparison #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
These include: - Emphysema ... - Lung cysts (LAM ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
associated pulmonary ... emphysema. ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
Honeycomb cysts ... from paraseptal emphysema ... #Diagnosis #Radiology ... #Pulmonary #Honeycombing ... #Differential #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
There is a lung cyst ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... appreciate on a cest ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... 90% are smokers, cysts ... Centrilobular emphysema ... #Clinical #Radiology ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Comparison #Table #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
low attenuation (emphysema ... , cystic) Where ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... Algorithm #ILD #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
caused by multiple cysts ... challenging differential diagnosis ... #Clinical #Radiology ... Histiocytosis #Cystic ... #RadiologyAssistant