87 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 ... #Cystic #Cysts ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... LCH: multiple round ... low attenuation areas ... Radiology #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
low attenuation areas ... histiocytosis (LCH ... (LAM): regular cysts ... Radiology #HRCT #CTChest ... 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
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
The CXR is of a ... LCH is called a ... On the CXR it is ... #CTChest #Cystic ... #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... cyst in the upper ... leading to pulmonary cyst ... Clinical #Radiology #CXR ... Lymphangioleiomyomatosis #LAM #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
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... is interstitial lung ... The cystic pattern ... When the cysts have ... #Differential #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
result in decreased lung ... - Emphysema - Lung ... cysts (LAM, LIP ... Radiology #Pulmonary #CTChest ... Emphysema #SignetRing #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 ... Clinical #Radiology #CXR ... #CTChest #MucoidImpaction ... Mucus #Plugging #RadiologyAssistant