Pulmonary amyloidosis

Case contributed by Dr Christoph Berliner

Presentation

Recurrence of dyspnoea.

Patient Data

Age: 7th decade
Gender: Female

Chest X-Ray

Modality: X-ray

Radiographic Findings

  • Tracheobronchial abnormalities: Calcification
  • Parenchymal abnormalities
    • Multiple nodules up to 20 mm
    • Interstitial disease: reticulonodular opacities 
  • Lymphadenopathy

Non-contrast enhanced Chest-CT

Modality: CT
  • Tracheobronchial abnormalities: submucosal calcification
  • Parenchymal abnormalities
    • Nodules with calcification, reticulonodular opacities
    • Ground-glass opacities, multiple variably sized cysts, thick bronchovascular bundles
  • Lymphadenopathy: mediastinal nodules with diffuse to eggshell calcifications

Case Discussion

This 63 years old female patient showed recurrence of dyspnoea with known diagnosis of light-chain amyloidosis.

Thus the plain X-ray gave no clues in comparison to prior shots.

CT scan revealed new massive ground glass opacity.

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Case Information

rID: 27288
Case created: 27th Jan 2014
Last edited: 6th Jan 2016
System: Chest
Inclusion in quiz mode: Included

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