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radiology clinical comparison cxr lam pattern diagnosis differential hrct lymphangioleiomyomatosis lowattenuation lymphangiomyomatosis nodular pulmonary biopsy cysts early histiocytosis infarct interstitial
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... bizarre shaped cysts ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis. Nodular LCH: - Sarcoidosis: perilymphatic distribution. - Metastases: random distribution. Cystic LCH: - LAM: round
: round cysts, evenly ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
multiple thick walled cysts ... (LAM): regular cysts ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
There is a hydropneumothorax. Notice the air-fluid level (blue arrow). The upper lobe is still attached to the
attached to the chest ... There is a lung cyst ... leading to pulmonary cyst ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Pericardial cyst Pericardial cysts are connected to the pericardium and usually contain clear fluid. The majority of pericardial
Pericardial cyst ... Pericardial cysts ... of pericardial cysts ... On CT however there ... #CXR #CTChest #
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Key findings in Lymphangiomyomatosis: Numerous thin-walled cysts, surrounded by normal parenchyma. Cysts range from 2mm to 5cm in
Numerous thin-walled cysts ... Cysts range from ... Cysts are distributed ... #CTChest #Lymphangiomyomatosis ... #LAM #Cystic #RadiologyAssistant
HRCT findings in Langerhans cell histiocytosis: Early stage: - Small irregular or stellate nodules in centrilobular location. Late stage
airspaces Cysts ... predominance. - Recurrent pneumothorax ... There are no cysts ... #CTChest #LCH # ... Histiocytosis #RadiologyAssistant
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 ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
There is a hydropneumothorax. Notice the air-fluid level. The upper lobe is still attached to the chest wall
attached to the chest ... There is a lung cyst ... leading to pulmonary cyst ... #Clinical #Radiology ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
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