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Case 1: Lymphangioleiomyomatosis

The patient shown below presented with chest pain and shortness of breath. The CXR revealed coarsened, prominent lung markings with a predominantly subpleural right pneumothorax. (Click image to enlarge)

Cxr Small

 

CT was performed and demonstrated multiple cysts throughout the lungs. The pneumothorax was noted to be loculated and predominantly in the lower portion of the right hemithorax.

Ct1 Ct2

 

Fat containing lesions were noted in both kidneys consistent with angiomyolipomas. Subsequently, it was learned that the patient had a history of lymphangioleiomyomatosis and had a prior pleurodesis.

Angiomyolipomas

 

 

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