15 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Langerhans cell histiocytosis ... central dot. - LIP #Clinical ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table
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 ... #LAM #LIP #Histiocytosis
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Langerhans cell histiocytosis ... (LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Langerhans cell histiocytosis ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
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 ... Nodular #Pattern #Comparison
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... When the cysts have ... Langerhans cell histiocytosis ... #Diagnosis #Radiology
Coins on Chest XRay - Trachea vs Esophagus

Coins in the sagittal plane on X-ray are more
Coins on Chest XRay ... Trachea #Esophagus #Peds ... #Pediatrics #CXR ... #Radiology #Comparison ... #Clinical
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... Langerhans cell histiocytosis ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Langerhans cell histiocytosis ... before the typical cysts ... #Clinical #Diagnosis ... #CTChest #Nodular ... #Comparison #Table
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
The CXR is of a ... Langerhans cell histiocytosis ... On the CXR it is ... #Clinical #Radiology ... #CXR #CTChest #