15 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Langerhans cell histiocytosis ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Langerhans cell histiocytosis ... is seen in: - UIP ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... Langerhans cell histiocytosis ... in many cases UIP ... #Diagnosis #Radiology ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Langerhans cell histiocytosis ... central dot. - LIP ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... A HRCT is needed ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... predominance: UIP ... #Pulmonary #CTChest ... #GroundGlass #Differential ... #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Langerhans cell histiocytosis ... of such cases a HRCT ... #Clinical #Radiology ... #CXR #CTChest # ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
can heal and end up ... Langerhans cell histiocytosis ... Clinical #Diagnosis #Radiology ... #CTChest #Cavity ... Emphysema #Comparison #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
most challenging differential ... helpfull in the differential ... #Clinical #Radiology ... #CXR #CTChest # ... #Cystic #RadiologyAssistant