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Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round

central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Comparison #Table ... #RadiologyAssistant

Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic

pneumonia and UIP ... #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution ... Central #Peripheral #RadiologyAssistant

Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what

or tumor cells (Table ... fibrosis as in UIP ... #Pulmonary #CTChest ... Consolidation #Differential ... #RadiologyAssistant

Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases

is seen in: - UIP ... edema #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #RadiologyAssistant

Typical UIP with honeycombing and traction bronchiectasis in a patient with idiopathic pulmonary fibrosis (IPF) #Clinical

Typical UIP with ... fibrosis (IPF) #Clinical ... #Radiology #CTChest ... #UIP #IPF #ILD ... #RadiologyAssistant

On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans

Lymphangiomyomatosis, LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #LAM #LIP ... Histiocytosis #RadiologyAssistant

The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-

Lung cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant

Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

#Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant

Low Attenuation pattern
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of

#Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant

Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient

#Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant

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