Pulmonary lymphoma

Case contributed by A.Prof Frank Gaillard
Modality: CT

Ill defined nodules are present in both lungs, many of which show distinct and prominent air bronchograms. Virtually all of these lesions were present previously, but the largest mass (left lower lobe) has increased substantially in size since the previous scan. Its margins are irregular, making exact size measurements difficult and imprecise. There is a new 2.2 cm nodular component arising from the superior margin of this mass, not present previously. The main portion of the mass measures 4.5 x 3.8 cm .

Scattered cystic changes are present in both lungs, some of which may
represent dilated bronchi. Elsewhere, there are mild areas of bronchial wall thickening. The hilar and mediastinal structures are normal.

OPINION

Multifocal pulmonary nodules, exhibiting features typical of lymphoma. The largest mass has increased in size. There are generalized airway changes bilaterally which may represent combination of bronchiectasis and emphysema.

Case Discussion

Case courtesy of Dr Laura Jimenez Juan.

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Case Information

rID: 9481
Case created: 22nd Apr 2010
Last edited: 12th Apr 2016
System: Chest
Inclusion in quiz mode: Included

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