Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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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 ... #Differential #Comparison ... #Table #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
: ill defined centrilobular ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
multilayered thick-walled cysts ... lymphadenopathy #Clinical ... #Radiology #CTChest ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... The cystic pattern ... When the cysts have ... #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest # ... #Reticular #ILD ... #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... Lymphoid interstitial pneumonitis ... #Clinical #Radiology ... #CTChest #Lymphangiomyomatosis ... #LAM #Cystic #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... caused by multiple cysts ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
The differential ... hypersensitivity pneumonitis ... #Clinical #Radiology ... #CXR #Lateral # ... Sarcoidosis #Fibrosis #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Hypersensitivity Pneumonitis ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant