Bronchioloalveolar carcinoma

Discussion:

Chest x-ray demonstrates extensive and widespread fluffy airspace opacities, with almost complete white-out of the mid and lower zones on the left.

CT confirms extensive airspace opacities with numerous air-bronchograms. No pleural effusions or evidence of mediastinal adenopathy.

Sputum, right and left main bronchus lavage were positive for malignant cells consistent with carcinoma. A Tru-cut biopsy was suggested by the pathologist to confirm the diagnosis of bronchoalveolar carcinoma, the patient's condition meant that this was not possible.

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