53-year-old female with nicotine dependence presents with dyspnea and cough
CXR shows diffuse interstitial reticulonodular changes
LANGERHANS HISTIOCYTOSIS 53-year-old female with nicotine dependence presents with dyspnea and cough CXR (PA and Lateral) shows bilateral and extensive reticular nodular changes slightly more prominent in the upper lung zones Ashley Davidoff MD
CT scan from 16 months prior showed multiple relatively thick-walled cysts predominantly in the upper lobes. The cysts are round and air filled large and are between 5mm-8mm
CT CORONAL VIEW – UPPER ZONES MORE AFFECTED THAN LOWER LUNG ZONES – LANGERHANS HISTIOCYTOSIS Ashley Davidoff MD
CT CORONAL VIEW – UPPER ZONES MORE AFFECTED THAN LOWER LUNG ZONES – LANGERHANS HISTIOCYTOSIS Ashley Davidoff MD
CT AXIAL VIEW – APEX SHOWS MOST SEVERE DISEASE
Ashley Davidoff MD
CT HILAT REGIONS – LANGERHANS HISTIOCYTOSIS Ashley Davidoff MD
CT BASAL REGIONS – LANGERHANS HISTIOCYTOSIS Ashley Davidoff MD
CORONAL RECONSTRUCTION OF CT 9 MONTHS LATER – -IMPROVED CT scan 9 months later shows improvement in the thickened walls of the cysts but maintenance of diffuse cystic changes predominantly in the upper lobes Ashley Davidoff MD
2 YEARS LATER
CORONAL RECONSTRUCTION OF CT 2 YRS LATER – UPPER LOBE DOMINANCE -IMPROVED A CT scan done 2 years later shows no significant change in the diffuse bilateral cystic changes, dominant in the upper lobes and consistent with Langerhans histiocytosis Ashley Davidoff MD
CORONAL RECONSTRUCTION OF CT 2 YRS LATER -IMPROVED – UPPER LOBE DOMINANCE Ashley Davidoff MD
IMPROVED CT AXIAL VIEW APEX SHOWS MOST SEVERE DISEASE LANGERHANS HISTIOCYTOSIS Ashley Davidoff MD
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IMPROVED CT HILAR REGIONS – LANGERHANS HISTIOCYTOSIS
Ashley Davidoff MD
IMPROVED CT LOWER LUNG ZONES LANGERHANS HISTIOCYTOSIS 53-year-old female with nicotine dependence presents with dyspnea and cough CXR (PA and Lateral) shows bilateral and extensive reticular nodular changes slightly more prominent in the upper lung zones CT scan from 16 months prior showed multiple relatively thick-walled cysts predominantly in the upper lobes. The cysts are round and air filled large and are between 5mm-8mm CT scan 9 months later shows improvement in the thickened walls of the cysts but maintenance of diffuse cystic changes predominantly in the upper lobes A CT scan done 2 years later shows no significant change in the diffuse bilateral cystic changes, dominant in the upper lobes and consistent with Langerhans histiocytosis Ashley Davidoff MD
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