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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 57 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 57

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


Chief Complaint:
Twenty four year old female with progressive shortness of breath

Clinical History:
The patient was a 24 year old female with progressive shortness of breath. Her past medical history was remarkable for seizures and mental retardation. She had bilateral pneumothoraces treated by sclerotherapy in the past.

Clinical Physical Exam:
Adenoma sebaceum were present on the patient's skin.

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Tuberous sclerosis

Imaging Findings:
A chest film showed bilateral interstitial infiltrates, more prominent in the bases. A chest CT exam better delineated these findings.

icon gifImage 1

icon gificon gificon gifImages 2 , 3 and 4

Imaging Differential Diagnosis:
Lymphangioleiomyomatosis, Histiocytosis X

Operative Findings:
None

Pathological Findings:
None

Final Diagnosis:
Lymphangioleiomyomatosis

Follow-up and Prognosis:
Not available.

Similar Cases:
Case 9

References:

Title Page


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