[Pulmonary lymphomatoid granulomatosis radiologically mimicking interstitial pneumonia].
We report a rare case of pulmonary lymphomatoid granulomatosis radiologically mimicking interstitial pneumonia. A 57-year-old man was admitted to our hospital because of chest bilateral reticular shadow with sustained cough and breathlessness for 10 years. Chest CT scans showed multiple ground-glass opacities, traction bronchiectasis and cystic change in both lungs, in addition to hilar and mediastinal lymphadenopathy. A histopathologically diagnosis of pulmonary lymphomatoid granulomatosis (angiocentric immunoproliferative lesion, grade 1) was made by thoracoscopic lung biopsy. In this case, serological and immunohistochemical analyses did not show Epstein-Barr virus infection. No clinical or radiological deterioration has been observed thereafter despite no medication.
Ishii
Hiroshi
H
Department of Infectious Diseases, Oita University Faculty of Medicine.
Kishi
Kenji
K
Kushima
Hisako
H
Hashinaga
Kazuhiko
K
Umeki
Kenji
K
Ohama
Minoru
M
Tokimatsu
Issei
I
Hiramatsu
Kazufumi
K
Kadota
Jun-Ichi
J
D003937:Diagnosis, Differential; D004854:Herpesvirus 4, Human; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D017563:Lung Diseases, Interstitial; D008230:Lymphomatoid Granulomatosis / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed