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In a later stage the nodules start to cavitate and become cysts.
These cysts start as round
later stage the nodules ... start to cavitate ... #Clinical #Radiology ... #CTChest #LCH # ... #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Differential # ... Algorithm #RadiologyAssistant
On the left radiological pathological correlation of Langerhans cell histiocytosis in respectively nodular stage and early
in respectively nodular ... #Clinical #Radiology ... #Pathology #CTChest ... #Microscopy #LCH ... #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
The HRCT shows a ... and secondry nodules ... #Clinical #Radiology ... #CXR #CTChest # ... #Fibrosis #RadiologyAssistant
Langerhans cell histiocytosis is an uncommon disease characterised by multiple cysts in patients with nicotine abuse.
In
that later on cavitate ... #Clinical #Radiology ... #CTChest #LangerhansCellHistiocytosis ... #LCH #Nodular # ... RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... patterns: reticular, nodular ... #Diagnosis #Radiology ... Interstitial #Pattern #Differential ... #RadiologyAssistant
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
It started as small ... to cavitating nodules ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #Cystic #RadiologyAssistant
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
HRCT findings in ... irregular or stellate nodules ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #RadiologyAssistant