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
Nodular LCH: - Sarcoidosis ... : round cysts, evenly ... #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
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 ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... bizarre shaped cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
multiple thick walled cysts ... (LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
or air-filled lesions ... Emphysema - Lung cysts ... on the basis of HRCT ... #Diagnosis #Radiology ... TractionBronchiectasis #Cysts
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... low attenuation (table ... When the cysts have ... #Diagnosis #Radiology ... #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 #Radiology ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Solid pulmonary nodules can represent various etiologies:
- benign granulomas
- focal scar
- intrapulmonary lymph nodes
- primary malignancies
-
Solid pulmonary nodules ... that can help to differentiate ... and malignant lesions ... #Diagnosis #Radiology ... #RadiologyAssistant
Appearance of Liver Lesions on Computed Tomography (CT) - Arterial Phase, Portal Venous Phase and Delayed
Appearance of Liver Lesions ... , Hepatic cyst, ... ComputedTomography #CT #radiology ... #differential # ... diagnosis #comparison #table
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
HRCT findings in ... airspaces Cysts ... There are no cysts ... #Clinical #Radiology ... Histiocytosis #RadiologyAssistant