© 2004 BMJ Publishing Group Ltd & British Thoracic Society
Images in Thorax
Pulmonary artery aneurysm and tuberous sclerosis
Queens Medical Centre, University Hospital, Nottingham, UK; nicolajb@doctors.net.uk
| The first 150 words of the full text of this article appear below. |
A 52 year old woman with tuberous sclerosis (TS) was referred with an abnormality on the chest radiograph. In her teens she had had a cyst removed from the right upper lobe, the histology of which was consistent with lymphangioleiomyomatosis (LAM). She was a life long non-smoker.
At presentation she described breathlessness on exertion and intermittent right sided chest pain. Examination revealed cutaneous evidence of TS (adenoma sebaceum, cervical skin tags, and subungal fibromas). A right sided thoracotomy scar was visible; further examination of the chest was normal with no bruits or venous hum. Resting oxygen saturations breathing air were 96% and pulmonary function tests were within normal limits. A chest radiograph showed a lesion in the right mid zone (fig 1
). A CT scan of the thorax revealed the lesion enhanced with contrast (fig 2); also seen were postoperative changes and a few small cysts representative of
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- J A Wedzicha, S L Johnston, and D M Mitchell
Thorax 2004 59: 6-7.[Extract] [Full Text] [PDF]
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