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
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... #Diagnosis #Radiology ... LowAttenuation #Differential ... TractionBronchiectasis #Cysts ... #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
Centrilobular emphysema ... multiple thick walled cysts ... ): regular cysts ... #Clinical #Radiology ... #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
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
them from cysts ... the surrounding lung ... Cysts occur without ... Cysts usually contain ... #RadiologyAssistant
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
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
, like cyst, cavity ... a thick wall Cyst ... #Table #CavitaryLesion ... #Cavity #Cyst # ... #Diagnosis #Radiology
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... edema #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
Honeycomb cysts ... and subpleural lung ... Subpleural honeycomb cysts ... which subpleural cysts ... #RadiologyAssistant