16 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... central dot. - LIP #Clinical ... #CTChest #Cystic ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
low attenuation areas ... #Clinical #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 ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
evaluation - Chest ... C-reactive protein (CRP ... as clinically indicated ... (e.g. echocardiogram ... iBookCC #COVID19 #algorithm
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
restricted to areas ... carcinoma, the diagnosis ... #Clinical #Radiology ... #CTChest #COP # ... Pneumonia #ILD #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... Radiology #Pulmonary #CTChest ... Differential #Comparison #Table ... #RadiologyAssistant
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
if they have no clinical ... purposes of this algorithm ... and lab signs ( ... CRP, ESR) of ongoing ... #Diagnosis #Peds
On the left two cases with chronic consolidation. 
There are patchy non-segmental consolidations in a subpleural
The final diagnosis ... will be other signs ... look like this #Clinical ... #Radiology #CTChest ... OrganizingPneumonia #RadiologyAssistant
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
intracellular urate ... factor (RF) and cyclic ... (to support a diagnosis ... ANA and RF (if clinical ... laboratory #workup #diagnosis
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
caused by multiple cysts ... challenging differential diagnosis ... the central dot sign ... #Clinical #Radiology ... #RadiologyAssistant