16 results
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
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Langerhans cell histiocytosis ... (LCH): multiple ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
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
In a later stage the nodules start to cavitate and become cysts.
These cysts start as round
These cysts start ... #Clinical #Radiology ... #CTChest #LCH # ... LangerhansCellHistiocytosis #Late #Histiocytosis ... #Cavitary #RadiologyAssistant
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
HRCT findings in ... Langerhans cell histiocytosis ... #Clinical #Radiology ... #CTChest #LCH # ... #RadiologyAssistant
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
Langerhans' cell histiocytosis ... It started as small ... #Clinical #Radiology ... #CTChest #LCH # ... #Cystic #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 # ... #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