Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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langerhanscellhistiocytosis comparison diagnosis histiocytosis pattern differential hrct interstitial lam nodular pneumothorax pulmonary langerhans lateral lowattenuation lymphangioleiomyomatosis cavitary cephalization cyst cysts
Differential diagnosis of Langerhans cell histiocytosis. Nodular LCH: - Sarcoidosis: perilymphatic distribution. - Metastases: random distribution. Cystic LCH: - LAM: round
Cystic LCH: - LAM ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
LCH: multiple round ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
histiocytosis (LCH ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
The CXR is of a ... LCH is called a ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
On the left another case of Langerhans' cell histiocytosis. It started as small noduli, which progressed over
bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #Cystic ... #RadiologyAssistant
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... The cystic pattern ... When the cysts have ... #Diagnosis #Radiology ... #Differential #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 ... Pattern #Comparison #Table ... #RadiologyAssistant
Mucoid impaction Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass. Sometimes
bronchiectasis, as in cystic ... fibrosis (CF) and ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
In a later stage the nodules start to cavitate and become cysts. These cysts start as round
These cysts start ... of LCH. ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #Cavitary #RadiologyAssistant
HRCT findings in Langerhans cell histiocytosis: Early stage: - Small irregular or stellate nodules in centrilobular location. Late stage
airspaces Cysts ... There are no cysts ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #RadiologyAssistant
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