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radiology radiologyassistant clinical comparison cxr diagnosis differential lowattenuation interstitial langerhanscellhistiocytosis pulmonary diagram emphysema histiocytosis honeycombing langerhans lymphangiomyomatosis nodular pneumothorax signetring
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 ... on the basis of HRCT ... #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
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
or a cystic pattern ... In many of such cases ... a HRCT will give ... #Clinical #Radiology ... #CXR #CTChest #
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 #
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis. The
was caused by multiple ... cysts. ... #Clinical #Radiology ... #CXR #CTChest # ... LCH #LangerhansCellHistiocytosis
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