- 47 year old female
- Systemic lupus erythematosus 30 years ago
- Sjogren’s syndrome (20 years ago)
- Family history
- Rheumatoid arthritis
- SLE
- Kartageners
- PFT
- persistence of airflow obstruction
- borderline restrictive disease
- mild decrease in diffusion capacity
- Rx
- On steroids
-
CT 7 years ago
- Thin walled Cysts
-
47f-SLE-Sjogrens-LIP-vs-Birt-Hogg-Dube-basilar-thin-walled-cysts-lymphadenopathy-001-CT-7-years-ago.jpg
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Ashley Davidoff TheCommonVein.netMild Middle Lobe Reticular Changes
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netCalcification associated with Cyst in the Lower Lobe
Calcification associated with Cyst
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netSubsegmental infiltrate around the Bronchovascular bundles in the Right Lower Lobe 7 years ago
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netLymphadenopathy 7 years ago
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net47f-SLE-Sjogrens-LIP-vs-Birt-Hogg-Dube-basilar-thin-walled-cysts-lymphadenopathy-004-CT-7-years-ago.jpg
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net1 Year Ago
- Cysts Mild Progression
-
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net - Lymphadenopathy Improved
-
Improved right paratracheal Lymphadenopathy
47f SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy CT 1year ago
Ashley Davidoff TheCommonVein.net - Improved RLL Infiltrate
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47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netRight Lower Lobe Infiltrate
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netRight Lower Lobe Infiltrate
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netProgressive Lingular Reticular Changes and Perhaps Tree in Bud?
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Progressive Lingular Reticular Changes and Perhaps Tree in Bud?
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Ashley Davidoff TheCommonVein.netStable Calcification and a Cyst
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Stable Calcification and a Cyst
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Ashley Davidoff TheCommonVein.net -
Current
-
Cystic Changes Stable
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Stable Cystic Changes
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netCysts Associated with Blood Vessels
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Cysts Associated with Blood Vessels in RLL
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net -
Persistent Decreased Adenopathy ? Early Calcification
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Persistent Decrease in Adenopathy
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netPersistent Decrease in Adenopathy
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net -
RLL Infiltrate Progressive Peribronchial Changes
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Progressive RLL Infiltrate with Peribronchial Changes
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net47f-SLE-Sjogrens-LIP-vs-Birt-Hogg-Dube-basilar-thin-walled-cysts-lymphadenopathy-020-CT-current.jpg
Progressive RLL Infiltrate with Peribronchial Changes
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netProgressive RLL Infiltrate with Peribronchial Changes
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netProgressive RLL Infiltrate with Thickened Interlobular Septa
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netLingular Changes of Nodules and Mild Reticular Change ? Improved
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Lingular Changes of Nodules and Mild Reticular Change ? Improved
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net -
Stable Calcification and a Cyst
Stable Calcification in a Cyst ? Amyloid
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff- CT multiple large
- cysts bilaterally, with
- lower lobe predominance,
- up to 4.1 cm
- slightly dysmorphic in shape,
- some simple and
- some multiseptated,
- not significantly changed since 4 years prior , but progressed over 7 yearsDifferential Diagnosis
- Birt-Hogg-Dube syndrome.
- Atypical LIP (lymphocytic interstitial pneumonitis) In the context of a
known negative FCLN gene mutation and an established diagnosis of
Sjogren’s syndrome, this could represent an atypical presentation of
lymphocytic interstitial pneumonitis.