Lymphangiomatosis

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Increased shortness of breath and two episodes of hemoptysis while playing a game of football.

Patient Data

Age: 18 years
Gender: Male
x-ray

Mediastinal widening and extensive radiating interstitial thickening.

ct

There is extensive interstitial thickening which predominates centrally and extends as confluent soft-tissue that surrounds the mediastinum. There is no discrete lymphadenopathy.

Case Discussion

Features here are lymphatic thickening and lymphangiomatosis which was confirmed at biopsy.

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