14 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... Cystic LCH: - LAM ... : round cysts, evenly ... #CTChest #Cystic ... #Cysts #Differential
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 ... #HRCT #CTChest ... Pattern #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
histiocytosis (LCH ... multiple thick walled cysts ... (LAM): regular cysts ... #HRCT #CTChest ... Pattern #Comparison #Table
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
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
the left another case ... started as small noduli ... bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH #
In a later stage the nodules start to cavitate and become cysts.
These cysts start as round
later stage the nodules ... cavitate and become cysts ... These cysts start ... bizarre shaped cysts ... #CTChest #LCH #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... before the typical cysts ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Comparison #Table
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
irregular or stellate nodules ... airspaces Cysts ... There are no cysts ... #Clinical #Radiology ... #CTChest #LCH #
Langerhans cell histiocytosis is an uncommon disease characterised by multiple cysts in patients with nicotine abuse.
In
characterised by multiple cysts ... cavitate and become cysts ... #Clinical #Radiology ... #CTChest #LangerhansCellHistiocytosis ... #LCH #Nodular #
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... low attenuation (table ... When the cysts have ... seen and in many cases ... #Diagnosis #Radiology