39 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... Cystic LCH: - LAM ... central dot. - LIP #Clinical ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
effusion; sometimes pneumothorax ... LCH: multiple round ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
started as small noduli ... replace normal lung ... #Clinical #Radiology ... #CTChest #LCH # ... #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 ... Histiocytosis #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... cyst in the upper ... leading to pulmonary cyst ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
histiocytosis (LCH ... (LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
irregular or stellate nodules ... predominance. - Recurrent pneumothorax ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
On the left a case with multiple cysts that are evenly distributed througout the lung (
with multiple cysts ... througout the lung ... in contrast to LCH ... #Clinical #Radiology ... #CTChest #LAM #
On the left radiological pathological correlation of Langerhans cell histiocytosis in respectively nodular stage and early
in respectively nodular ... early and late cystic ... #Clinical #Radiology ... #Pathology #CTChest ... #Microscopy #LCH