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On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... seen and in many cases ... UIP can be suspected ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
- Reticular interstitial ... Nodule - Multiple Masses ... Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Thickening of the interstitium ... predominance: UIP ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... indicates unknown cause ... findings of NSIP, UIP ... #Diagnosis #Radiology ... ILD #Findings #RadiologyAssistant
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 ... TractionBronchiectasis #Cysts ... Emphysema #SignetRing #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
you think of the causes ... fibrosis as in UIP ... the alveoli and cause ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
The case on the left shows subpleural honeycomb cysts in several contiguous layers.
There is also a
The case on the ... subpleural honeycomb cysts ... typical for Usual Interstitial ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
Because of the cystic ... feature of usual interstitial ... pneumonia (UIP) ... #Clinical #Radiology ... UsualInterstitialPneumonia #RadiologyAssistant