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Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... Cystic LCH: - LAM ... central dot. - LIP #Clinical ... Diagnosis #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
LCH: multiple round ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
histiocytosis (LCH ... #Clinical #Radiology ... #HRCT #CTChest ... 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 ... doi.org/10.1016/j.chest ... Sign #CT #Lung #Pulmonary ... diagnosis #radiology #clinical
Notice the cavitation especially on the right.
In the left upper lobe there is probably some traction-bronchiectasis
#Clinical #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... #CTChest #SeptalThickening ... #CHF #RadiologyAssistant
Typical UIP with honeycombing and traction bronchiectasis in a patient with idiopathic pulmonary fibrosis (IPF) #Clinical
with idiopathic pulmonary ... fibrosis (IPF) #Clinical ... #Radiology #CTChest ... UIP #IPF #ILD #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... Consolidation #Patterns #RadiologyAssistant
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... • CD4 < 200: Pulmonary ... /- High res CT chest ... PCP DFA sputum, LDH ... ID_fellows #Pulmonary
In a later stage the nodules start to cavitate and become cysts.
These cysts start as round
shaped cysts of LCH ... patients with LCH ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #Cavitary #RadiologyAssistant