EURORAD ESR

Case 16191

Miliary tuberculosis in a patient with metastatic thymoma

Author(s)
Aubanell Anton, Arenós Jesús, Saéz Maria, Arteaga Alex, Baggio Chiara.

Vall d'Hebron; Passeig Vall d'Hebron 119-129 08035 Barcelona, Spain; Email:ton.aubanell@gmail.com
 
Patient
female, 64 year(s)
 
 
  • Figure 1
    Chest X-Ray
     

    Profuse tiny, discrete, rounded pulmonary opacities uniform in size, diffusely distributed throughout the lungs. Lower right chest opacity and mediastinum enlargment and lateralitzation to the right side.

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Infection;

    Chest X-Ray with miliary pattern where we can see uniformly distributed micronodules

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Infection;

    Ct scan showing the mass seen on the Chest X-Ray that produces an atelectasis on the inferior right pulmonary lobe. There's also evidence of pericardic metastasic disease.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Ct scan showing the mass seen on the Chest X-Ray that produces an atelectasis on the inferior right pulmonary lobe.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Media coronal vision of the chast CT scan showing the correlation betwen Ct scan and Chest X-Ray

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Chest CT
     

    Widespread, randomly distributed micronodules (<3mm) in both lungs (military pattern)

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Infection;

    Miliary pattern.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Infection;

    Miliary pattern.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Infection;

    Miliary pattern.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Infection;

    Miliary pattern.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    Thymoma pleural metastasis
     

    Pleural and pericardic metastasis.

     
    Area of Interest: Respiratory system; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Pleural metastasis

     
    Area of Interest: Respiratory system; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Pleural metastasis

     
    Area of Interest: Respiratory system; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Pleural metastasis

     
    Area of Interest: Respiratory system; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Pleural metastasis

     
    Area of Interest: Respiratory system; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Lymphangitic carcinomatosis

    Peri-lymphatic micronodular pattern. This pattern is characterized by distribution along or adjacent to the lymphatic vessels in the lung. Alveoli do not have lymphatics.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Profuse tiny, discrete, rounded pulmonary opacities uniform in size, diffusely distributed throughout the lungs. Lower right chest opacity and mediastinum enlargment and lateralitzation to the right side.
 
Chest X-Ray with miliary pattern where we can see uniformly distributed micronodules
 
Ct scan showing the mass seen on the Chest X-Ray that produces an atelectasis on the inferior right pulmonary lobe. There's also evidence of pericardic metastasic disease.
 
Ct scan showing the mass seen on the Chest X-Ray that produces an atelectasis on the inferior right pulmonary lobe.
 
Media coronal vision of the chast CT scan showing the correlation betwen Ct scan and Chest X-Ray
 
Widespread, randomly distributed micronodules (<3mm) in both lungs (military pattern)
 
Miliary pattern.
 
Miliary pattern.
 
Miliary pattern.
 
Miliary pattern.
 
Pleural and pericardic metastasis.
 
Pleural metastasis
 
Pleural metastasis
 
Pleural metastasis
 
Pleural metastasis
 
Peri-lymphatic micronodular pattern. This pattern is characterized by distribution along or adjacent to the lymphatic vessels in the lung. Alveoli do not have lymphatics.
 
 
 
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