24 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Langerhans cell histiocytosis ... Cystic LCH: - LAM ... Clinical #Diagnosis #Radiology ... #Comparison #Table ... #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... Langerhans cell histiocytosis ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Langerhans cell histiocytosis ... (LAM): regular cysts ... #Clinical #Radiology ... Pattern #Comparison #Table ... #RadiologyAssistant
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 ... Pattern #Comparison #Table ... #RadiologyAssistant
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 ... Pattern #Comparison #Table ... #RadiologyAssistant
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 ... TractionBronchiectasis #Cysts ... Emphysema #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Langerhans cell histiocytosis ... edema #Diagnosis #Radiology ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
Langerhans' cell histiocytosis ... bizarre shaped cysts ... #Clinical #Radiology ... LangerhansCellHistiocytosis #Histiocytosis ... #Cystic #RadiologyAssistant
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
Langerhans cell histiocytosis ... airspaces Cysts ... There are no cysts ... #Clinical #Radiology ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... The cystic pattern ... Langerhans cell histiocytosis ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant