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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 9 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 9

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Chief Complaint:
Twelve year old male with lymphangioleiomyomatosis.

Clinical History:
The patient was a 12 year old male with lymphangioleiomyomatosis. He now presented with bilateral chylous effusions.

Clinical Physical Exam:
Unremarkable

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Lymphangioleiomyomatosis

Imaging Findings:
A chest film from admission showed large bilateral pleural effusions. A chest CT exam performed seven days later better delineated the effusions.

icon gificon gifImages 1 and 2

icon gificon gificon gifImages 3, 4, and 5

Imaging Differential Diagnosis:
Lymphangioleiomyomatosis

Operative Findings:
The patient underwent bilateral pleurodesis in the operating room.

Pathological Findings:
None

Final Diagnosis:
Lymphangioleiomyomatosis

Follow-up and Prognosis:
After the pleurodesis the pleural effusions resolved.

Similar Cases:
Case 57

References:

 

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