19 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... Cystic LCH: - LAM ... Diagnosis #Radiology #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
LCH: multiple round ... low attenuation areas ... Radiology #HRCT #CTChest ... #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
low attenuation areas ... histiocytosis (LCH ... Radiology #HRCT #CTChest ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... cysts. ... Diagnosis #Radiology #CTChest ... #Cystic #Comparison ... Histiocytosis #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... cysts (LAM, LIP ... Radiology #Pulmonary #CTChest ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
with peripheral areas ... end-stage with massive fibrosis ... Radiology #HRCT #CTChest ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
bizarre shaped cysts ... replace normal lung ... Clinical #Radiology #CTChest ... #LCH #LangerhansCellHistiocytosis ... #RadiologyAssistant
Emphysema, when it is severe, can mimick Langerhans cell histiosytosis.
When it extends beyond the centrilobular area
look as if it is cystic ... , but also areas ... bronchiolitis and even fibrosis ... Clinical #Radiology #CTChest ... #Emphysema #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... with end-stage fibrosis ... Diagnosis #Radiology #CTChest ... Emphysema #Comparison ... #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... bronchiectasis, as in cystic ... fibrosis (CF) and ... Radiology #CXR #CTChest ... Mucus #Plugging #RadiologyAssistant