16 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Langerhans cell histiocytosis ... Cystic LCH: - LAM ... : round cysts, evenly ... #CTChest #Cystic ... #Cysts #Differential
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
(LCH): multiple ... thick walled cysts ... (LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... LCH: multiple round ... bizarre shaped cysts ... #Clinical #Radiology ... #HRCT #CTChest
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
the left another case ... Langerhans' cell histiocytosis ... bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH #
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
Langerhans cell histiocytosis ... airspaces Cysts ... There are no cysts ... #Clinical #Radiology ... #CTChest #LCH #
In a later stage the nodules start to cavitate and become cysts.
These cysts start as round
cavitate and become cysts ... These cysts start ... bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH #
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Langerhans cell histiocytosis ... (LCH). ... In many of such cases ... #Clinical #Radiology ... #CXR #CTChest #
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Langerhans cell histiocytosis ... before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
On the left a case with multiple round and bizarre shaped cysts.
There was an upper lobe
On the left a case ... bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LangerhansCellHistiocytosis ... #LCH #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... When the cysts have ... Langerhans cell histiocytosis ... seen and in many cases ... #Diagnosis #Radiology