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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 ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
subpleural and basal lung ... #Clinical #Radiology ... #CTChest #UIP # ... UsualInterstitialPneumonitis #Usual ... Pneumonitis #ILD #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
changes in the basal lung ... thick walls of the cysts ... #Clinical #Radiology ... #Usual #Interstitial ... Reticular #ILD #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
subpleural and basal lung ... #Clinical #Radiology ... #CTChest #UIP # ... UsualInterstitialPneumonitis #Usual ... LowerLungPredominance #ILD #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
multilayered thick-walled cysts ... lymphadenopathy #Clinical ... #Radiology #CTChest ... #Usual #Interstitial ... Pneumonitis #ILD #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 ... is a possible diagnosis ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
subpleural honeycomb cysts ... are typical for Usual ... #Clinical #Radiology ... #CTChest #UIP # ... #Honeycombing #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
Because of the cystic ... typical feature of usual ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant