Bilateral airspace opacities mimicking dense breasts

Case contributed by Dr Brendon Friesen

Presentation

Chest pain. Pregnant. ?PE

Patient Data

Age: 30
Gender: Female

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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Case information

rID: 30744
Case created: 1st Sep 2014
Last edited: 24th Sep 2016
System: Chest
Inclusion in quiz mode: Included

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