19 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... : round cysts, evenly ... : 'signet ring sign ... #Radiology #CTChest ... #Cystic #Cysts
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
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
(LCH): multiple ... thick walled cysts ... (LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
In a later stage the nodules start to cavitate and become cysts.
These cysts start as round
later stage the nodules ... cavitate and become cysts ... These cysts start ... bizarre shaped cysts ... #CTChest #LCH #
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 ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
started as small noduli ... bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH # ... #Cystic #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 ... #CTChest #Nodular ... #Differential #Comparison
Langerhans cell histiocytosis is an uncommon disease characterised by multiple cysts in patients with nicotine abuse.
In
Langerhans cell histiocytosis ... characterised by multiple cysts ... cavitate and become cysts ... #LCH #Nodular # ... RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... LCH: multiple round ... bizarre shaped cysts ... #Clinical #Radiology ... #HRCT #CTChest