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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 ... #LAM #LIP #Histiocytosis ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... : 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic
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 ... LAM is a rare lung ... #Clinical #Radiology ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... ): uniform cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Lymphangiomyomatosis (LAM ... ): regular cysts ... #Clinical #Radiology ... #HRCT #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
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
lung disease comes ... lung disease and ... The cystic pattern ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
90% are smokers, cysts ... Lymphoid interstitial ... #Clinical #Radiology ... #CTChest #Lymphangiomyomatosis ... #LAM #Cystic #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... looking at the lateral ... anteriorly in the left lung ... #Clinical #Radiology ... SilhouetteSign #RadiologyAssistant
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
fat pads on the lateral ... fat pad (sail sign ... humeral line on the lateral ... Injuries #Xrays #Radiology ... peds #Pediatrics #clinical