Healed varicella pneumonia

Case contributed by Dr Jayanth Keshavamurthy

Presentation

45 years old referred from rheumatologist with a history of RA.

Patient Data

Age: 45 years old
Gender: Female
X-ray

Describe the finding.

Miliary lung nodules consistent with prior and healed varicella pneumonia.

 

Case Discussion

The patient told the ordering rheumatologist that her chest radiograph will be abnormal and has had a workup for healed chicken pox previously. This helped so no more tests were ordered.

Know all your differential for miliary lung nodules.

Look for:

1. Calcified lymph nodes.

2. Other granulomas in liver or spleen.

If these two features are absent even in the absence of an accurate history healed varicella pneumonia should be considered.  The patient has had prior varicella pneumonia in the past with extensive workup.

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Case information

rID: 44612
Case created: 28th Apr 2016
Last edited: 24th Jul 2017
System: Chest
Inclusion in quiz mode: Included

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