Lymphangitis carcinomatosa

Case contributed by Townsville radiology training

Presentation

Recent onset of cough and severe shortness of breath. A chest X-ray in an outlying hospital showed a nodular pulmonary pattern.

Patient Data

Age: 51 years
Gender: Male
X-ray

Chest X-ray performed after administration of contrast for CT - hence the incidental IVP - not relevant. Note old healed left clavicle fracture. The lungs show diffuse thickening of the interstitium, peribronchial cuffing, with prominent Kerley A lines and Kerley B lines. No definitive mass is demonstrated but the hila are prominent suggesting possible lymphadenopathy.

Case Discussion

This patient was shown to have chronic myeloid leukaemia with pulmonary leukaemic infiltrates.

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Case information

rID: 18383
Case created: 4th Jul 2012
Last edited: 24th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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