Article Text

Download PDFPDF

A pleural mass with pulmonary infiltrates
  1. C J Ryerson1,
  2. S Malhotra1,
  3. S Lam1,
  4. J C English2,
  5. D N Ionescu2
  1. 1Department of Respiratory Medicine, Vancouver General Hospital,Vancouver, Canada
  2. 2Department of Pathology and Laboratory Medicine, Vancouver General Hospital, Vancouver, Canada
  1. Correspondence to:
    Dr Chris Ryerson
    Department of Respiratory Medicine, Gordon & Leslie Diamond Health Care Centre, 2775 Laurel St, Vancouver General Hospital, Vancouver, Canada V5Z 1M9; cryerson{at}

Statistics from

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.

Clinical presentation

A healthy 34-year-old woman had a 1-month history of dyspnoea and an abnormal chest radiograph. A course of erythromycin was unhelpful. Further details of her history did not suggest an aetiology. Physical examination showed only mild hypoxia on exertion.

A high-resolution chest CT scan was performed, revealing a left apical and hilar mass extending posteriorly to encase the lung, particularly along the mediastinal aspect (fig 1). There was also bilateral airspace opacification in a bronchocentric distribution. Bronchoscopy and thoracentesis were non-diagnostic.

Figure 1

 Coronal CT scan of the chest showing ground glass and dense airspace opacification in a bronchocentric distribution throughout both lungs. There is also left hilar enlargement and multiple pleural masses.


What is your diagnosis?

See page 695

This case was submitted by:

View Abstract

Linked Articles

  • Pulmonary puzzle
    BMJ Publishing Group Ltd and British Thoracic Society