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radiology clinical interstitial diagnosis langerhanscellhistiocytosis pulmonary cavity histiocytosis lam pattern pneumonitis pneumothorax table uip usual usualinterstitialpneumonitis comparison differential emphysema hrct
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
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
On the left a chest film of a patient with UIP due to IPF. The findings on
changes in the basal lung ... thick walls of the cysts ... Clinical #Radiology #CXR ... Pneumonitis #Reticular #ILD ... #RadiologyAssistant
Septic emboli Septic emboli usually present as multiple ill-defined nodules. In about 50% cavitation is seen. CT demonstrates more
densities iin the left lung ... cavitation in the right lung ... Clinical #Radiology #CXR ... #CTChest #Septic ... SepticEmboli #Cavity #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
On the left a case with multiple cysts that are evenly distributed througout the lung (
with multiple cysts ... througout the lung ... in contrast to LCH ... Clinical #Radiology #CTChest ... #Pneumothorax #RadiologyAssistant
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