279Lu Chronic Pulmonary Langerhans Cell Histiocytosis

54-Year-old male heavy smoker with cough

Scout CT No Abnormality Specifically No Hyperinflation

54-Year-old male heavy smoker with cough
Scout CT No Abnormality
54 year old smoker presents with a chronic cough.  Scout film prior to the CT shows no abnormality .  Specifically no evidence of hyperinflation
Ashley Davidoff MD TheCommonvein.net 279Lu 136469

CT Coronal Multiple Thin Walled Cysts of Varying Size in the  Upper Lobes

CT Coronal Multiple Thin Walled Cysts Upper Lobe
54 year old smoker presents with a chronic cough.   CT in the coronal plane shows multiple thin walled cysts of varying size with upper lung predominance
Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)
Ashley Davidoff MD TheCommonvein.net 279Lu 136470c

CT Coronal Multiple Thin Walled Cysts Upper Lobe
Along the bronchovascular Bundle

CT Coronal Multiple Thin Walled Cysts Upper Lobe
54 year old smoker presents with a chronic cough.   CT in the coronal plane shows multiple thin walled cysts of varying size with upper lung predominance.  The cysts appear to be aligned with a normal sized subsegmental airway with minimal wall thickening (ringed in white lower image) 
Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)
Ashley Davidoff MD TheCommonvein.net 279Lu 136472cL
CT Sagittal Plane  Multiple Thin Walled Cysts Upper Lobe
54 year old smoker presents with a chronic cough.   CT in the sagittal plane shows multiple thin walled cysts of varying size with upper lung predominance.  
Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)
Ashley Davidoff MD TheCommonvein.net 279Lu 136475
CT Axial Plane  Multiple Thin Walled Cysts Upper Lobe
54 year old smoker presents with a chronic cough.   CT in the axial plane shows multiple thin walled cysts of varying size with upper lung predominance.  
Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)
Ashley Davidoff MD TheCommonvein.net 279Lu 136477

CT Coronal Multiple Thin Walled Cysts Upper Lobe
Along the bronchovascular Bundle

CT Axial Multiple Thin Walled Cysts Upper Lobe
54 year old smoker presents with a chronic cough.   CT in the axial plane plane shows multiple thin walled cysts of varying size with upper lung predominance.  The cysts appear to be aligned with a normal sized subsegmental airway with minimal wall thickening (lower image) 
Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)
Ashley Davidoff MD TheCommonvein.net 279Lu 136478c
CT Axial Multiple Thin Walled Cysts Upper Lobe
54 year old smoker presents with a chronic cough.   CT in the axial plane plane shows multiple thin walled cysts of varying size with upper lung predominance.  The cysts appear to be aligned with a normal sized subsegmental airway with minimal wall thickening (lower image) 
Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)
Ashley Davidoff MD TheCommonvein.net 279Lu 136479c

Scout CT No Abnormality

54 year old smoker presents with a chronic cough.  Scout film prior to the CT shows no abnormality .  Specifically no evidence of hyperinflation

Ashley Davidoff MD TheCommonvein.net 279Lu 136469

 

CT Coronal Multiple Thin Walled Cysts Upper Lobe

54 year old smoker presents with a chronic cough.   CT in the coronal plane shows multiple thin walled cysts of varying size with upper lung predominance.  The cysts appear to be aligned with a normal sized subsegmental airway with minimal wall thickening (ringed in white lower image)

Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)

Ashley Davidoff MD TheCommonvein.net 279Lu 136472cL

 

CT Sagittal Plane  Multiple Thin Walled Cysts Upper Lobe

54 year old smoker presents with a chronic cough.   CT in the sagittal plane shows multiple thin walled cysts of varying size with upper lung predominance.

Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)

Ashley Davidoff MD TheCommonvein.net 279Lu 136475

 

CT Axial Plane  Multiple Thin Walled Cysts Upper Lobe

54 year old smoker presents with a chronic cough.   CT in the axial plane shows multiple thin walled cysts of varying size with upper lung predominance.

Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)

Ashley Davidoff MD TheCommonvein.net 279Lu 136477

 

CT Axial Multiple Thin Walled Cysts Upper Lobe

54 year old smoker presents with a chronic cough.   CT in the axial plane plane shows multiple thin walled cysts of varying size with upper lung predominance.  The cysts appear to be aligned with a normal sized subsegmental airway with minimal wall thickening (lower image)

Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)

Ashley Davidoff MD TheCommonvein.net 279Lu 136478c

 

CT Axial Multiple Thin Walled Cysts Upper Lobe

54 year old smoker presents with a chronic cough.   CT in the axial plane plane shows multiple thin walled cysts of varying size with upper lung predominance.  The cysts appear to be aligned with a normal sized subsegmental airway with minimal wall thickening (lower image)

Findings are consistent with chronic pulmonary Langerhans cell histiocytosis (PLCH)

Ashley Davidoff MD TheCommonvein.net 279Lu 136479c