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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.
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 courtesy of Dr Laura Jimenez Juan.