Healed varicella pneumonia

Case contributed by Jayanth Keshavamurthy , 28 Apr 2016
Diagnosis certain
Changed by Ian Bickle, 29 Apr 2016

Updates to Case Attributes

Presentation was changed:
45 year old referred from rheumatologist with a history of RA.
Body was changed:

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.

  • -<p>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.</p>
  • +<p>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.</p><p>Know all your differential for miliary lung nodules.</p><p>Look for:</p><p>1. Calcified lymph nodes.</p><p>2. Other granulomas in liver or spleen.</p><p>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.</p>

Updates to Study Attributes

Findings was changed:

Patient has had prior varicella pneumonia in the past with extensive workup.Miliary lung nodules consistent with prior and healed varicella pneumonia.

Know all your differential for miliary lung nodules.

Look for

1.calcified lymph nodes.

2.look for other granulomas in liver or spleen.

If these two features are absent even in the absence of accurate history healed varicella pneumonia should be considered.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.