Presentation
Chest pain. Pregnant. ?pulmonary embolism
Patient Data
Bilateral lower zone airspace opacities which could be mistaken for over projected dense breast parenchyma. Lateral radiograph not performed.
Right middle lobe and lingular airspace opacities with air bronchograms.
Multiple bilateral perilymphatic distribution nodules, best appreciated in oblique fissures and horizontal fissure. Bilateral upper zone subpleural infiltrates.
No ground glass opacity, reticulation or traction bronchiectasis.
No lymphadenopathy was seen.
Case Discussion
Right middle lobe and lingular airspace opacities mimicking over projected dense breast parenchyma on chest radiograph.
Perilymphatic distrubution pulmonary nodules. Sarcoidosis would be most likely in this case, even without lymphadenopathy. Silicosis would be unlikely given patient demographics, and absence of calcification. Lymphangitis carcinomatosis is a differential for perilymphatic nodules, however is unlikely.
No further clinical or laboratory correlation available at this stage.
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