EURORAD ESR

Case 15526

Langerhans Cell Histiocytosis - early stage

Author(s)
Almeida, J. ; Carvalho, V.; Antunes, N.; Santos, R.; Fernandes, O.; Leal. C.; Figueiredo, L.

Hospital Santa Marta - Centro Hospitalar Lisboa Central, Lisbon, Portugal;

Email:joao.manuel.almeida@hotmail.com
 
Patient
male, 41 year(s)
 
 
  • Figure 1
    Chest X-Ray
     

    Nodular pattern predominantly in the middle and upper zones, in a patient without respiratory symptoms

     
    Area of Interest: Thorax; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Cavitation;

    Lateral View

     
    Area of Interest: Thorax; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Cavitation;
     
     
  • Figure 2
    Computed Tomography
     

    Multiple small lung nodules, mixed solid and cavitating, bilaterally dispersed but sparing sparing costophrenic angles.

     
    Area of Interest: Thorax; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Cavitation;

    Multiple small lung nodules, mixed solid and cavitating, bilaterally dispersed but sparing sparing costophrenic angles.

     
    Area of Interest: Thorax; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Cavitation;

    Multiple small lung nodules, mixed solid and cavitating, bilaterally dispersed but sparing sparing costophrenic angles.

     
    Area of Interest: Thorax; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Cavitation;

    Multiple small lung nodules, mixed solid and cavitating, bilaterally dispersed but sparing sparing costophrenic angles.

     
    Area of Interest: Thorax; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Cavitation;

    Multiple small lung nodules, mixed solid and cavitating, bilaterally dispersed but sparing sparing costophrenic angles.

     
    Area of Interest: Thorax; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Cavitation;

    Small hypodense nodules dispersed in the liver and spleen.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Small hypodense nodules dispersed in the liver and spleen.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    Percutaneous Transthoracic Lung Biopsy
     

    A right lower lobe lung nodule measuring 13mm, with spiculated borders, acessible for percutaneous transthoracic lung biopsy

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Biopsy; Special Focus: Cavitation;

    CT-Guided Percutaneous Needle Biopsy

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Biopsy; Special Focus: Acute;

    Alveolar hemorrhage along the needle tract (red arrow) and minimal pneumothorax (green arrows), after percutaneous needle biopsy

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Biopsy; Special Focus: Acute;
     
     
Nodular pattern predominantly in the middle and upper zones, in a patient without respiratory symptoms
 
Lateral View
 
Multiple small lung nodules, mixed solid and cavitating, bilaterally dispersed but sparing sparing costophrenic angles.
 
Multiple small lung nodules, mixed solid and cavitating, bilaterally dispersed but sparing sparing costophrenic angles.
 
Multiple small lung nodules, mixed solid and cavitating, bilaterally dispersed but sparing sparing costophrenic angles.
 
Multiple small lung nodules, mixed solid and cavitating, bilaterally dispersed but sparing sparing costophrenic angles.
 
Multiple small lung nodules, mixed solid and cavitating, bilaterally dispersed but sparing sparing costophrenic angles.
 
Small hypodense nodules dispersed in the liver and spleen.
 
Small hypodense nodules dispersed in the liver and spleen.
 
A right lower lobe lung nodule measuring 13mm, with spiculated borders, acessible for percutaneous transthoracic lung biopsy
 
CT-Guided Percutaneous Needle Biopsy
 
Alveolar hemorrhage along the needle tract (red arrow) and minimal pneumothorax (green arrows), after percutaneous needle biopsy
 
 
 
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