Thoracic-abdominal MDCT: A one-stop-shop procedure for diagnosis of lymphangioleiomyomatosis

N. Sverzellati , P. Spagnolo , S. Harari , M. De Filippo , M. Zompatori , C. Rossi
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Abstract

A 62-year-old asymptomatic woman was referred for an abdominal multidetector CT (MDCT) scan to evaluate a renal angyomiolipoma. Upper MDCT images revealed multiple, bilateral pulmonary cystic lesion in the costo-phrenic sulci and a thin-section MDCT scan of the chest was consequently performed. Thin-section MDCT showed several thin-walled cysts uniformly distributed throughout the lung parenchyma consistent with lymphangioleiomyomatosis (LAM). This radiological approach secured a definite diagnosis of LAM, thus avoiding further invasive procedures.

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胸腹MDCT:诊断淋巴管平滑肌瘤病的一站式程序
一位62岁无症状的女性被推荐进行腹部多层螺旋CT (MDCT)扫描以评估肾脏血管肌脂肪瘤。上段多层螺旋ct图像显示肋膈沟多发双侧肺囊性病变,随后行胸部薄层多层螺旋ct扫描。薄层MDCT示数个薄壁囊肿均匀分布于肺实质,符合淋巴管平滑肌瘤病(LAM)。这种放射学方法确保了LAM的明确诊断,从而避免了进一步的侵入性手术。
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