Lymphocytic interstitial pneumonia
Updates to Case Attributes
In this case, lung biopsy under CT guidedguidance was performed because unable to exclude primary lung carcinoma of the right upper lobe nodule which has spiculated margin.
However HPE of the biopsied lung tissue is Interstitial Lymphoid Pneumoniainterstitial lymphoid pneumonia.
After treatment, follow up CXR showed marked improvement of the findings.
Interstitial Lymphoid pneumonia is a uncommon form of interstitial lung disease in adults where the lung interstitial and alveolar are infiltrates by lymphocytes, plasma cells and other lymphoreticular elements. It is a spectum of lymphoproliferative disease. It is now consider as non-specific interstitial pneumonia (NSIP).
-<p>In this case, lung biopsy under CT guided was performed because unable to exclude primary lung carcinoma of the right upper lobe nodule which has spiculated margin.</p><p>However HPE of the biopsied lung tissue is Interstitial Lymphoid Pneumonia.</p><p>After treatment, follow up CXR showed marked improvement of the findings.</p><p>Interstitial Lymphoid pneumonia is a uncommon form of interstitial lung disease in adults where the lung interstitial and alveolar are infiltrates by lymphocytes, plasma cells and other lymphoreticular elements. It is a spectum of lymphoproliferative disease. It is now consider as non-specific interstitial pneumonia (NSIP).</p><p> </p>- +<p>In this case, lung biopsy under CT guidance was performed because unable to exclude primary lung carcinoma of the right upper lobe nodule which has spiculated margin.</p><p>However HPE of the biopsied lung tissue is interstitial lymphoid pneumonia.</p><p>After treatment, follow up CXR showed marked improvement of the findings.</p>
Updates to Study Attributes
Multiple patches of alveolar opacities of varies sizes in both lung fields. Confluence of alveolar opacities noted at right lower zone forms a largest lung mass.No mediastinal widening.Heart is normal.Both costophrenic angle are obliterates by the soft tissue shadows from outer part.No obvious bone lesions.
Impression:Chest radiograph findings raises few possibilities, differential diagnosis are multiple pulmonary metastases (possible primary is lung and breast), lymphoma, bronchoalvealarbronchoalveolar carcinoma, Wegener's granulomatosis.
Updates to Study Attributes
Multiple ill defined lung nodules with surrounding ground glass opacities, fairly homogenous and varies sizes scattered in both lung.The largest is in right lower lobe and associated with air bronchogram/consolidation and collapse seen within measuring 5.9cmx5.0cm.9 cm x 5.0 cm. One of the nodule in right upper lobe has spiculated margin. No cavitating nodules seen.Shotty mediastinal nodes. No hilar lymphadenopathies.
Updates to Freetext Attributes
In this case, lung biopsy under CT guidance was performed because unable to exclude primary lung carcinoma of the right upper lobe nodule which has spiculated margin.
However HPE of the biopsied lung tissue is interstitial lymphoid pneumonia.
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