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Pulmonary Lymphangioleiomyomatosis (LAM)

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pulmonary Lymphangioleiomyomatosis (LAM)

History: History (can include gestational age, or age in days, weeks, months): 48 year-old female with history of lung disease with recurrent pneumothoraces Though not given in this case, symptoms of dyspnea and cough are most common. Others include hemoptysis and chest pain.

Findings: Image Findings: CXR: This patient has a large, dense pleural effusion in right lower lobe and a bilaterally diffuse mild linear reticular pattern. CT: This patient has cystic air pockets throughout all lung fields and a dense pleural effusion in the right lower lobe.

Ddx: Differential Diagnosis for these findings in this case: Pulmonary Lymphangioleiomyomatosis, Tuberous Sclerosis, Eosinophilic Granuloma (Langerhans histiocytosis), Emphysema, Cystic Fibrosis, Bronchiectasis, Idiopathic Pulmonary Fibrosis, Neurofibromatosis (Types 1 and 2), Metastatic Leiomyosarcoma, Metastatic Leiomyoma, Metastatic Endometrial Stromal Tumor, Diffuse Pulmonary Lymphangiomatosis

Dxhow: Biopsy

Exam: Physical Exam and Laboratory: Pleural effusion has a high lipid content

No MeSH data available.


Chest Image, left pleural masses and effusion
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Related In: Results  -  Collection

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MPX1313_synpic23788: Chest Image, left pleural masses and effusion


Pulmonary Lymphangioleiomyomatosis (LAM)

Patterson RAP - MedPix

Chest Image, left pleural masses and effusion
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1313&req=5

MPX1313_synpic23788: Chest Image, left pleural masses and effusion

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pulmonary Lymphangioleiomyomatosis (LAM)

History: History (can include gestational age, or age in days, weeks, months): 48 year-old female with history of lung disease with recurrent pneumothoraces Though not given in this case, symptoms of dyspnea and cough are most common. Others include hemoptysis and chest pain.

Findings: Image Findings: CXR: This patient has a large, dense pleural effusion in right lower lobe and a bilaterally diffuse mild linear reticular pattern. CT: This patient has cystic air pockets throughout all lung fields and a dense pleural effusion in the right lower lobe.

Ddx: Differential Diagnosis for these findings in this case: Pulmonary Lymphangioleiomyomatosis, Tuberous Sclerosis, Eosinophilic Granuloma (Langerhans histiocytosis), Emphysema, Cystic Fibrosis, Bronchiectasis, Idiopathic Pulmonary Fibrosis, Neurofibromatosis (Types 1 and 2), Metastatic Leiomyosarcoma, Metastatic Leiomyoma, Metastatic Endometrial Stromal Tumor, Diffuse Pulmonary Lymphangiomatosis

Dxhow: Biopsy

Exam: Physical Exam and Laboratory: Pleural effusion has a high lipid content

No MeSH data available.