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Images in thorax
Intrapulmonary lipomatosis
  1. Chao-Yu Liu1,2,3,
  2. Yu-Chao Yu1,2,4,
  3. Chih-Cheng Hsieh1,2,5,
  4. Yeh-Han Wang6,7,
  5. Teh-Ying Chou4,5,6
  1. 1Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan
  2. 2School of Medicine, National Yang-Ming University, Taipei, Taiwan
  3. 3Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan
  4. 4Department of Surgery, National Yang-Ming University Hospital, Yilan, Taiwan
  5. 5Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan
  6. 6Department of Pathology, Taipei Veterans General Hospital, Taipei, Taiwan
  7. 7Department of Pathology, Koo-Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan
  1. Correspondence to Dr Chih-Cheng Hsieh, Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital, No. 201, Sec. 2, Shi-Pai Road, Beitou District, Taipei 11217, Taiwan; cchsieh2{at}vghtpe.gov.tw

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A 70-year-old woman with a history of bronchiectasis diagnosed with bilateral pulmonary nodules was examined. She was a non-obese (body mass index: 18.3 kg/m2), non-diabetic never-smoker. The pulmonary nodules had been present for 4 years. Chest CT revealed multiple, well-defined and homogenous subcentimetre nodules of variable sizes scattered in the left and right lungs. The average nodule was –150 Hounsfield units (HU) with a density slightly less than muscle and similar to fat (HU: –50 to –200). The follow-up chest CTs with an interval of 4 years demonstrated slight growth of those pulmonary nodules (figure 1). Video-assisted thoracoscopic lung biopsies were performed on the left side. Two small pieces of lung tissue containing pulmonary nodules …

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