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On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... Histiocytosis #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table ... #RadiologyAssistant
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... on Chest CT • ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison ... #Table #RadiologyAssistant
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... CT • SPN or mass ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
(LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison ... #Table #RadiologyAssistant
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 ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Water Lily Sign (Camalote Sign) on Chest CT
 • Hydatid cyst in the lung with a
on Chest CT • Hydatid ... cyst in the lung ... #Camalote #CT # ... #diagnosis #radiology ... #clinical
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 ... leading to pulmonary cyst ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant