Pulmonary Langerhans cell histiocytosis

Case contributed by Dr Kashif Nadeem Liaqat

Presentation

H/o ongoing lung disease, now presented with acute breathlessness.

Patient Data

Age: 20
Gender: Male

There is bilateral diffuse generalized severe cystic changes with associated reticulonodular shadowing. Right sided surgical emphysema and pneumothorax seen chest drain also noted.

Diffuse bilateral, nearly symmetric, reticulonodular opacities with innumerous cysts ranging in size 1 to 3 cm involving almost whole lung fields however  relatively sparing the extreme bases of the lungs. The lung volumes are not decreased. There is evidence of residual right pneumothorax, surgical emphysema and minimal pneumomediastinum with right intercostal tube. There is evidence of right sided minimal effusion as well. No significant bony abnormality in visualized images.

IMPRESSION
Features of pulmonary LCH (known case) complicated by right sided pneumothorax and surgical emphysema.

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Case information

rID: 29900
Case created: 30th Jun 2014
Last edited: 2nd Apr 2017
System: Chest
Inclusion in quiz mode: Included

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