Article Text

PDF
Images in Thorax
Intralobular septal thickening on chest CT in a patient with pulmonary amyloidosis: a rare case study
  1. Yasuhito Suzuki,
  2. Junpei Saito,
  3. Ryuichi Togawa,
  4. Hiroyuki Minemura,
  5. Mitsuru Munakata
  1. Department of Pulmonary Medicine, School of Medicine, Fukushima Medical University, Fukushima, Japan
  1. Correspondence to Dr Junpei Saito, Department of Pulmonary Medicine, School of Medicine, Fukushima Medical University, Hikarigaoka-1, Fukushima 960-1295, Japan; junpei{at}fmu.ac.jp

Statistics from Altmetric.com

A 54-year-old female presented with chronic dry cough and dyspnoea over 3 months and was referred to our outpatient clinic. She had no history of smoking, allergy or respiratory disorders. Chest X-ray demonstrated bilateral upper lung predominant consolidation (figure 1A). Chest CT revealed extensive upper lobe predominant subpleural consolidation with air bronchograms as well as extensive ground glass opacities (GGOs) with intralobular septal thickening (figure 1B–D). Mediastinal lymphadenopathy in stations 4R and 10R with no calcification was observed. There were no crackles on auscultation with oxygen saturation of 95% on room air despite a wide range of abnormal shadows on chest X-ray and CT. Based on the available clinical and radiographic findings, the differential diagnosis encompassed pulmonary sarcoidosis, malignant lymphoma, bronchoalveolar carcinoma, lymphangitis carcinomatosa and amyloidosis.

Figure 1

Chest X-rays and CT scans. Chest …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.