8 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Langerhans cell histiocytosis ... : 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
in the proper clinical ... vessel sign (7) ... vessel sign (8) ... #Clinical #Radiology ... #CXR #CTChest #
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
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Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... Langerhans cell histiocytosis ... with end-stage fibrosis ... #Clinical #Diagnosis ... #Radiology #CTChest
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
most challenging differential ... the central dot sign ... helpfull in the differential ... #Clinical #Radiology ... #CXR #CTChest #
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
Here a typical chest ... There is fibrosis ... The differential ... #Clinical #Radiology ... #CXR #Lateral #
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
Signs of fibrosis ... included in the differential ... #Clinical #Radiology ... #CTChest #Chronic ... HypersensitivityPneumonitis #Fibrosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... x-ray (CXR), try ... not seen on a CXR ... intra-abdominal bleeding ... #Radiology #CTChest