Presentation
Asthma
Patient Data
Age: 20 years
Gender: Male
From the case:
Tuberose sclerosis complex
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Axial C+ arterial phase

scattered random micronodules
two myocardial fatty foci
numerous renal angiomyolipomas
no lung cysts
Coronal MIPs demonstrate micronodules well.
MinIPs are sensitive for cystic lung disease.
Case Discussion
Multifocal multinodular pneumocyte hyperplasia, myocardial fatty foci and numerous renal angiomyolipomas (AML) are typical features of tuberous sclerosis complex (TSC). Myocardial fatty foci occur in about 2/3 of tuberous sclerosis patients and are rare in the general population.
Subependymal giant cell astrocytoma (SEGA) is a life-threatening manifestation of tuberous sclerosis complex and brain MRI or CT is advised.