12 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... central dot. - LIP #Clinical ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
LCH: multiple round ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #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 ... #Pattern #Comparison ... #Table #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
early nodular stage ... before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Nodular #Pattern #Comparison
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... The cystic pattern ... seen and in many cases ... #Diagnosis #Radiology
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
LCH is called a ... In many of such cases ... a HRCT will give ... #Clinical #Radiology ... #CXR #CTChest #
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
HRCT findings in ... Late stage (more ... airspaces Cysts ... #Clinical #Radiology ... #CTChest #LCH #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... #CTChest #Nodular ... NodularPattern #Differential ... #Comparison #Table
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... patients with end-stage ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
this pattern was caused ... by multiple cysts ... This is late stage ... #Clinical #Radiology ... LCH #LangerhansCellHistiocytosis