16 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Langerhans cell histiocytosis ... : round cysts, evenly ... #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... multiple thick walled cysts ... (LAM): regular cysts ... #Clinical #Radiology ... #Pattern #Comparison
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 ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... Langerhans cell histiocytosis ... #Diagnosis #Radiology ... TractionBronchiectasis #Cysts ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... bizarre shaped cysts ... Centrilobular emphysema ... #Clinical #Radiology ... #Pattern #Comparison
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
#Clinical #Diagnosis ... #Radiology #CTChest ... #Cavity #Cyst # ... Emphysema #Comparison ... #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 ... Nodular #Pattern #Comparison ... #Table #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
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
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Langerhans cell histiocytosis ... 90% are smokers, cysts ... Centrilobular emphysema ... #Clinical #Radiology ... #RadiologyAssistant