Coulier Bruno, El Khoury Elie, Deprez Fabrice C, Ghaye Benoît, Van den Broeck Stephane, Tourmous Hussein
Department of Diagnostic Radiology, Clinique St Luc, Rue St Luc 8, 5004, Bouge (Namur), Belgium,
Emerg Radiol. 2014 Dec;21(6):651-5. doi: 10.1007/s10140-014-1236-y. Epub 2014 May 21.
Thoracic multidetector computed tomography-MDCT-was simultaneously performed during emergency abdominal CT in a patient presenting with abdominal pain and acute cardiogenic edema related to sick sinus syndrome and mitral prolapse with regurgitation. A constellation of severe but completely reversible interstitial and mediastinal features was found comprising pleural effusions, diffuse alveolar ground glass, thickening of the bronchial walls and septal lines, hazy infiltration of the mediastinal fat, and enlarged lymphatic nodes. Multiple atypical hypodense nodular "pearls" were also found. These oval shape or fusiform pearls were distributed along the thickened septal lines and disappeared completely after treatment. The hypothesis of transient lymphatic ectasia or lakes is proposed for these never previously described abnormalities.
在一名因病态窦房结综合征和二尖瓣脱垂伴反流而出现腹痛和急性心源性水肿的患者进行急诊腹部CT检查时，同时进行了胸部多层螺旋计算机断层扫描（MDCT）。发现了一系列严重但完全可逆的间质和纵隔特征，包括胸腔积液、弥漫性肺泡磨玻璃影、支气管壁增厚和间隔线、纵隔脂肪模糊浸润以及淋巴结肿大。还发现了多个非典型低密度结节状“珍珠”。这些椭圆形或梭形珍珠沿增厚的间隔线分布，治疗后完全消失。针对这些此前从未描述过的异常情况，提出了短暂性淋巴管扩张或淋巴湖的假说。
