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Year : 2016  |  Volume : 26  |  Issue : 3  |  Page : 411-415
Young patient with generalized lymphangiomatosis: Differentiating the differential


1 Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Pulmonary Medicine, Christian Medical College, Vellore, Tamil Nadu, India
3 Department of Radiotherapy, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Tharani Putta
Department of Radiology, Christian Medical College, Vellore - 632 004, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.190416

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We present the case of a 19-year-old man who was extensively evaluated in multiple centres for long-standing cough, dyspnea, and hemoptysis without a definitive diagnosis. His chest radiograph at presentation showed mediastinal widening, bilateral pleural effusions, and Kerley B lines. Computed tomography of the thorax showed a confluent, fluid-density mediastinal lesion enveloping the mediastinal viscera without any mass effect. There were bilateral pleural effusions, prominent peribronchovascular interstitial thickening, interlobular septal thickening and lobular areas of ground glass density with relative sparing of apices. There were a few dilated retroperitoneal lymphatics and well-defined lytic lesions in the bones. In this case report, we aim to systematically discuss the relevant differentials and arrive at a diagnosis. We also briefly discuss the treatment options and prognosis along with our patient's course in the hospital and final outcome.


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