Lymphangitis carcinomatosis

Case contributed by Dr Ian Bickle

Presentation

Known oseophageal malignancy with palliative stenting. Increasing shortness of breath. Normal WCC.

Patient Data

Age: 75 years
Gender: Male
X-ray

Distal oesophageal stent. Bilateral diffuse increased reticular markings throughout both lungs. Tiny right sided pleural effusion.

Diagram

Illustrative explanation by Dr F Gaillard.

Case Discussion

Lymphangitic carcinomatosis is the term given to tumour spread through the lymphatics of the lung. It is most commonly seen secondary to adenocarcinoma, as in this case with an oesophageal primary. The appearances on chest x-ray are those of reticulonodular shadowing. CT is much more sensitive.

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Case information

rID: 30715
Case created: 30th Aug 2014
Last edited: 22nd Jun 2017
System: Chest
Inclusion in quiz mode: Included

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