Presentation
Worsening dyspnea in a smoker with a history of COPD and varicella pneumonia.
Patient Data
Findings:
There are multiple oval calcific densities through both lungs in keeping with old varicella pneumonia. Heart size is normal. Mediastinal structures are normal. Central lung vascularity is normal. The lungs are over-inflated in keeping with COPD. Lungs are otherwise clear. No pleural collections.
Conclusion:
Extensive calcific densities through both lungs consistent with old varicella pneumonia. Lungs are over-inflated in keeping with COPD. Lungs are otherwise clear. No definite pneumonia or atelectasis. No pleural collection.
Findings:
There are moderate subpleural and centrilobular emphysematous changes bilaterally. There are multiple calcified granulomata bilaterally. There are no pleural effusions. There is no pneumothorax. There is no pericardial effusion.
Conclusion:
Background emphysema. Calcified granulomata bilaterally, consistent with past varicella pneumonia.
Case Discussion
Multiple small calcific lesions are seen on chest radiograph and CT scan consistent with a documented history of varicella pneumonia.
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