Lymphangitic carcinomatosis

Case contributed by Muhammad Qasim Khan


The patient presented with shortness of breath and dry cough for 6 months. Mild decrease in weight. No fever, blood in the sputum, or mass in the axilla.

Patient Data

Age: 65 years
Gender: Male

X-ray frontal projection shows reticular nodular shadowing in bilateral lower zones lungs. No associated collapse/consolidation is seen.

Bilateral hila are prominent. No calcification is seen in the hilar region.


Diffuse nodular interlobular septal thickening outlining secondary pulmonary lobules is appreciated in both lungs. Few larger nodular opacities are also seen in the peri-hilar region in both lungs.

Enlarged pretracheal, peri-hilar, and sub-carinal lymph nodes are appreciated; the largest node measuring 3x2cm(T x AP) in the sub-carinal region.

Peri-bronchovascular thickening is noted.
No bronchiectasis is seen.
No evidence of air trapping.

Cardiac size is normal.

No pleural/pericardial effusion was seen.

Mediastinal vessels are unremarkable.

Case Discussion

The patient is a biopsy-proven case of prostate cancer.

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