Diffs

Multiple thin-walled lung cysts:

1. Lymphangioleiomyomatosis

2. EG/Langerhans cell histiocytosis

3. LIP

4. Birt-Hogg-Dube syndrome (the cysts are significantly more likely to be paramediastinal and elliptical in shape).

5. Metastatic disease- leiomyosarcoma, synovial cell sarcoma, endometrial stromal sarcoma

6. Infection- PCP pneumonia , Human papilloma pulmonary infection  

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