Presentation
Breathlessness.
Patient Data
Age: 70 years
Gender: Male
From the case:
Lymphangitis carcinomatosis
Frontal
Coarse reticulonodular opacity throughout the right lung with prominent septal lines to the upper mid zones, appearances suggestive of lymphangitis infiltration. The right hilum is prominent and a nodule is noted adjacent to the hilum. Right mediobasal atelectasis with triangular opacity and loss of diaphragm silhouette.
Postsurgical changes noted in the left hemithorax, overinflated left lower lobe noted and pleural thickening at the left apex.
Case Discussion
This patient has a known history of metastatic lung adenocarcinoma - this pattern is consistent with lymphangitis carcinomatosis.
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