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radiology radiologyassistant clinical comparison diagnosis differential pulmonary cxr langerhanscellhistiocytosis histiocytosis hrct lowattenuation lymphangiomyomatosis interstitial langerhans nodular anterior cavitarylesion cavity cyst
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... ): uniform cysts ... LCH: multiple round ... bizarre shaped cysts ... #HRCT #CTChest
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
histiocytosis (LCH ... multiple thick walled cysts ... Lymphangiomyomatosis (LAM ... ): regular cysts ... #HRCT #CTChest
Differential diagnosis of Langerhans cell histiocytosis. Nodular LCH: - Sarcoidosis: perilymphatic distribution. - Metastases: random distribution. Cystic LCH: - LAM: round
Cystic LCH: - LAM ... : round cysts, evenly ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
Emphysema - Lung cysts ... (LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... The cystic pattern ... When the cysts have ... seen and in many cases ... #Diagnosis #Radiology
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Key findings in Lymphangiomyomatosis: Numerous thin-walled cysts, surrounded by normal parenchyma. Cysts range from 2mm to 5cm in
Numerous thin-walled cysts ... Cysts range from ... Cysts are distributed ... thickness of the cysts ... spread thin walled cysts
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
or a cystic pattern ... LCH is called a ... In many of such cases ... #Clinical #Radiology ... #CXR #CTChest #
On the left another case of Langerhans' cell histiocytosis. It started as small noduli, which progressed over
the left another case ... bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #Cystic
On the left a case with multiple cysts that are evenly distributed througout the lung (
On the left a case ... with multiple cysts ... in contrast to LCH ... #Clinical #Radiology ... #CTChest #LAM #
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