13 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
of Langerhans cell ... Nodular LCH: - Sarcoidosis ... Cystic LCH: - LAM ... #CTChest #Cystic ... #Cysts #Differential
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... , LIP and Langerhans ... cell histiocytosis ... #Radiology #CTChest ... #Cystic #Comparison
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Langerhans cell ... histiocytosis (LCH ... multiple thick walled cysts ... (LAM): regular cysts ... #Clinical #Radiology
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Langerhans cell ... before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
another case of Langerhans ... ' cell histiocytosis ... bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH #
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... (LAM, LIP, Langerhans ... cell histiocytosis ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Langerhans cell ... before the typical cysts ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Comparison #Table
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
airspaces Cysts ... There are no cysts ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
: Langerhans cell ... 90% are smokers, cysts ... #Clinical #Radiology ... #CTChest #Lymphangiomyomatosis ... #LAM #Cystic #RadiologyAssistant
Langerhans cell histiocytosis is an uncommon disease characterised by multiple cysts in patients with nicotine abuse.
In
Langerhans cell ... characterised by multiple cysts ... cavitate and become cysts ... #Clinical #Radiology ... #LCH #Nodular #