21 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
Langerhans cell histiocytosis ... (LCH): multiple ... thick walled cysts ... (LAM): regular cysts ... #HRCT #CTChest
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... Langerhans cell histiocytosis ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Histiocytosis
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
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 ... #CTChest #LCH # ... LangerhansCellHistiocytosis #Late #Histiocytosis
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... (LAM, LIP, Langerhans ... cell histiocytosis ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
between cavities and cysts ... differentiate them from cysts ... Cysts occur without ... Cysts usually contain ... Thicker-walled honeycomb cysts
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