Bronchioloalveolar carcinoma

Case contributed by Hani Makky Al Salam , 27 Mar 2010
Diagnosis possible
Changed by Daniel J Bell, 14 Oct 2018

Updates to Case Attributes

Age changed from 75 to 75 years.
Body was changed:

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 significantevidence of mediastinal adenopathy.

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

  • -<p>Chest x-ray demonstrates extensive and widespread fluffy airspace opacities, with almost complete white-out of the mid and lower zones on the left.</p><p>CT confirms extensive airspace opacities with numerous air-bronchograms. No pleural effusions or significant adenopathy.</p><p>Sputum, right and left main bronchus lavage were positive for malignant cells consistent of carcinoma, thought true cut biopsy was suggested by the pathologist to confirm the diagnosis of <a href="/articles/adenocarcinoma-in-situ-minimally-invasive-adenocarcinoma-and-invasive-adenocarcinoma-of-lung">bronchoalveolar carcinoma</a>, the patient condition did not permit for this.</p>
  • +<p>Chest x-ray demonstrates extensive and widespread fluffy airspace opacities, with almost complete white-out of the mid and lower zones on the left.</p><p>CT confirms extensive airspace opacities with numerous air-bronchograms. No pleural effusions or evidence of mediastinal adenopathy.</p><p>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 <a href="/articles/adenocarcinoma-in-situ-minimally-invasive-adenocarcinoma-and-invasive-adenocarcinoma-of-lung">bronchoalveolar carcinoma</a>, the patient's condition meant that this was not possible.</p>

Updates to Study Attributes

Findings was added:

Widespread fluffy airspace opacities, with almost complete white-out of the mid and lower zones on the left.

Images Changes:

Image X-ray (Frontal) ( update )

Perspective was set to Frontal.
Single Or Stack Root was set to .
Description was removed:
BAC

Updates to Study Attributes

Findings was added:

Extensive airspace opacities with numerous air bronchograms. Trace of pleural fluid on the left only. No significant nodal enlargement.

Images Changes:

Image CT (C+ arterial phase) ( update )

Description was removed:
BAC

Image CT (lung window) ( update )

Description was removed:
BAC
Perspective was set to Axial.

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