Lungs
2. Findings and Diagnosis
CT– Chest – Known Head and Neck Cancer with Metastases – Lymphangitis Carcinomatosa – 3 Months Later
3 months later the patient presented with chest pain and a cough. CT of the chest in the axial plane shows new bilateral lower lobar regions of irregular interlobular septal thickening noted in the right lower lobe a, magnified in b). Ringed in image c and d are 2 side by side secondary lobules with irregular septal thickening centrilobular nodules and other intralobular nodules likely reflecting lymphatic involvement.
Given the changes in the right upper lobe these findings likely reflect lymphangitis carcinomatosa
Ashley Davidoff MD TheCommonVein.net 013Lu 136062cL
3 months later the patient presented with chest pain and a cough. CT of the chest in the axial plane shows new bilateral lower lobar regions of irregular interlobular septal thickening noted in the right lower lobe a, magnified in b). Ringed in image c and d are 2 side by side secondary lobules with irregular septal thickening centrilobular nodules and other intralobular nodules likely reflecting lymphatic involvement.
Given the changes in the right upper lobe these findings likely reflect lymphangitis carcinomatosa
Ashley Davidoff MD TheCommonVein.net 013Lu 136062cL