13 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... : round cysts, evenly ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
histiocytosis (LCH ... multiple thick walled cysts ... (LAM): regular cysts ... #Clinical #Radiology ... #Pattern #Comparison
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
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... LIP, Langerhans cell ... histiocytosis) ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Langerhans cell ... histiocytosis: early ... before the typical cysts ... #Clinical #Radiology ... #Comparison #Table
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
them from cysts ... Cysts occur without ... #Radiology #CTChest ... #Cavity #Cyst # ... Emphysema #Comparison
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
in Langerhans cell ... airspaces Cysts ... There are no cysts ... #Clinical #Radiology ... #CTChest #LCH #
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
with Langerhans cell ... is a reticular patern ... caused by multiple cysts ... #Clinical #Radiology ... LCH #LangerhansCellHistiocytosis
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Langerhans cell ... histiocytosis: early ... before the typical cysts ... #Differential # ... Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... The cystic pattern ... When the cysts have ... in Langerhans cell ... histiocytosis or