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
Cystic LCH: - LAM ... : round cysts, evenly ... #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... cysts. ... Clinical #Diagnosis #Radiology ... #Comparison #LAM ... Histiocytosis #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... ): uniform cysts ... bizarre shaped cysts ... #Clinical #Radiology ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
multiple thick walled cysts ... Lymphangiomyomatosis (LAM ... ): regular cysts ... #Clinical #Radiology ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... #Diagnosis #Radiology ... LowAttenuation #Differential ... TractionBronchiectasis #Cysts ... Emphysema #SignetRing #RadiologyAssistant
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Round, smooth cysts ... Lentiform/elliptical cysts ... Bizarre/irregular cysts ... - PLCH Round cysts ... /FB, LCDD, SS Cyst
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
between cavities and cysts ... them from cysts ... Cysts occur without ... Cysts usually contain ... CTChest #Cavity #Cyst
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
cyst in the upper ... LAM is a rare lung ... leading to pulmonary cyst ... #Clinical #Radiology ... #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 ... thickness of the cysts ... spread thin walled cysts
Cystic lung disease
Lung cysts are defined as radiolucent areas with a wall thickness of less than
Cystic lung disease ... Lung cysts are ... Cystic lung diseases ... listed in the table ... #Differential #