EURORAD ESR

Case 11316

Lymphangiomatosis

Author(s)
Shantiranjan Sanyal, Poonam Narang, Satbir Singh, l. Upreti

G. B. Pant Hospital,
Maulana Azad Medical College;
New Delhi;
Email: srsanyal@gmail.com
 
Patient
female, 33 year(s)
 
 
  • Figure 1
    Axial CECT examination of thorax in mediastinal window

    Hypodense lesion of fluid attenuation filling the precarinal and prevascular space with dilated SVC and azygous vein.

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 2
    Axial CECT - level of aortopulmonary window

    The lesion is seen in aortopulmonary window, azygoesophageal recess circumferentially surrounding the ascending and descending aorta.

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 3
    Axial CECT of thorax at level of left atrium

    The same lesion in middle and posterior mediastinum encircling the pulmonary veins, descending aorta without luminal narrowing, involving the pericardium and extending across the midline.

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 4
    Axial CECT of abdomen at porta hepatis level

    The lesion is seen in lesser sac, hepatogastric ligament, encasing the portal vein with multiple large cystic lesions in spleen. Spleen is enlarged.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 5
    Coronal CECT image

    CECT reformatted images show extensive thoracoabdominal extension of the lesion involving multiple compartments without obvious mass effect.

     
    Area of Interest: Abdomen; Mediastinum; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 6
    Axial CT image of lung window at left brochus level

    Thickening of the connective tissue sheath along central bronchovascular bundles and interlobular septa bilaterally, better observed on right side due to proliferation of lymphatic spaces.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 7
    Axial CT image of lung window

    Thickening of the connective tissue sheath along bilateral central bronchovascular bundles in caudal section at the level of right middle lobe bronchus.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 8
    Axial lung window images at the level of ventricles

    Mildly prominent right oblique fissure and focal thickening of right lateral pleura and bilateral bronchovascular bundles.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
Hypodense lesion of fluid attenuation filling the precarinal and prevascular space with dilated SVC and azygous vein.
 
The lesion is seen in aortopulmonary window, azygoesophageal recess circumferentially surrounding the ascending and descending aorta.
 
The same lesion in middle and posterior mediastinum encircling the pulmonary veins, descending aorta without luminal narrowing, involving the pericardium and extending across the midline.
 
The lesion is seen in lesser sac, hepatogastric ligament, encasing the portal vein with multiple large cystic lesions in spleen. Spleen is enlarged.
 
CECT reformatted images show extensive thoracoabdominal extension of the lesion involving multiple compartments without obvious mass effect.
 
Thickening of the connective tissue sheath along central bronchovascular bundles and interlobular septa bilaterally, better observed on right side due to proliferation of lymphatic spaces.
 
Thickening of the connective tissue sheath along bilateral central bronchovascular bundles in caudal section at the level of right middle lobe bronchus.
 
Mildly prominent right oblique fissure and focal thickening of right lateral pleura and bilateral bronchovascular bundles.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version