![]() atypical pattern of lymphangitic spread of recurrent breast cancer. She expired two weeks later.īrochiolitis obliterans with organizing pneumonia vs. Patient's dyspnea did not resolve even after high dose treatment with prednison. ORGANIZING PNEUMONIA WITH BOOP-LIKE CHANGES - NO EVIDENCE OF MALIGNANCY Patient underwent a tranbronchial lung biopsy which revealed the diagnosis of : High-resolution CT of idiopathic interstitial pneumonias ![]() The entity known as BOOP is now also referred to as Cryptogenic Organizing Pneumonia. Preliminary Findings of a Prospective Study of FDG-PET in Patients with Possible Lung Cancer. Biopsy of the affected area is still needed for definitive diagnosis.ġ. The CT findings in conjunction with the increased uptake seen on PET are helpful in providing alternate diagnoses. While PET-CT is a good way to evaluate patient for recurrence of malignancy, other etiologies such as active infection/inflammation can decrease the sensitivity of this study for eliciting recurrent metastates. The uptake pattern in the lungs in this patient is non-specific. PET imaging may be useful for further evaluation if clinically indicated. However, malignancy such as lymphoma and less likely metastatis cannot be excluded. This most likely represents a benign lesion such as a hamartoma or atypical hemangioma. Abdomen MRI: A 6.6 x 5.5 cm heterogeneous lesion demonstrating enhancement in the inferior aspect of the spleen. However, in a person with a personal history of malignancy, evaluation with additional dedicated cross-sectional imaging should be performed.Ĥ. Abdomen ultrasound: Solid spherical mass within the spleen, statistically most likely a benign hemangioma. Given the somewhat peripheral distribution in the lung apices, eosinophilic pneumonia may also have a similar appearance.ģ. If the patient has been on chemotherapy, these findings can be seen in the setting of acute on chronic hypersensitivity reaction with areas of bronchiolitis obliterans and bronchiolitis obliterans organizing pneumonia. These findings are not the expected appearance of lymphangitic spread of tumor. A few thickened septal lines are noted, and there are a few small foci of consolidation. Chest CT (prior to PET: Diffuse patchy, symmetric, ground-glass opacities with upper lobe predominance. There is no abnormal splenic uptake and no evidence for other loco-regional or distant evidence of metastatic disease.Ģ. PET-CT: Patchy moderately intense uptake in both lungs favoring an inflammatory or infectious process such as bronchiolitis obliterans with organizing pneumonia as suggested on CT examination, although lymphangitic tumor spread is not excluded on the basis of PET imaging. The patient presents with worsening dyspnea with mediastinal adenopathy and a focal splenic lesion identified on MRI examination. Seventy-three-year-old woman with a history of right breast cancer approximately six years ago treated with mastectomy and radiation therapy. View main image(pt) in a separate image viewerįull history/Diagnosis is available below Prior right mastectomy for breast cancer. ![]() Seventy-three year old female presents with worsening dyspnea and abnormal liver function tests. Rating: #D3, #Q4ĭiagnosis: Brochiolitis obliterans with organizing pneumonia (BOOP) Case Author(s): Akash Sharma, M.D., Dennis M. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |