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Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: round cysts, evenly ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
, like cyst, cavity ... a thick wall Cyst ... #Cavity #Cyst # ... Lung #Pulmonary ... #Diagnosis #Radiology
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 ... #HRCT #CTChest ... Pattern #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
multiple thick walled cysts ... (LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
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
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... When the cysts have ... #Diagnosis #Radiology ... #Pulmonary #CXR
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
cyst in the upper ... airways leading to pulmonary ... cyst formation ... #Clinical #Radiology ... #CXR #Pneumothorax
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... TractionBronchiectasis #Cysts
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
them from cysts ... the surrounding lung ... associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest
Cystic lung disease
Lung cysts are defined as radiolucent areas with a wall thickness of less than
Cystic lung disease ... Lung cysts are ... Cystic lung diseases ... #Diagnosis #Radiology ... #Pulmonary #Cystic