Department of Radiology, Division of Cardiothoracic Radiology, University of Pittsburgh Medical Center, Pittsburgh, USA.
Department of Pathology, University of Michigan, Ann Arbor, USA.
Clin Imaging. 2021 Feb;70:111-113. doi: 10.1016/j.clinimag.2020.10.007. Epub 2020 Oct 7.
We report the case of an 80-year-old woman presenting with randomly distributed ground glass nodules in the lungs. Since this imaging appearance can be confusing and can mimic other disease processes, it is important to have an organized approach. In this specific case, the distribution and appearance of nodules, their presence for a prolonged period as well as the clinical context were clues to the diagnosis of diffuse pulmonary meningotheliomatosis (DPM). The final diagnosis was established by surgical biopsy. This article reviews the current literature on DPM, imaging appearance, and an algorithmic approach to the presented case.
我们报告了一例 80 岁女性，其肺部呈现随机分布的磨玻璃结节。由于这种影像学表现可能具有迷惑性，并可模拟其他疾病过程，因此采用有组织的方法非常重要。在这个具体病例中，结节的分布和外观、存在时间的长短以及临床背景是弥漫性肺脑膜瘤病（DPM）的诊断线索。最终诊断通过手术活检确定。本文回顾了 DPM 的现有文献、影像学表现以及针对所呈现病例的算法方法。
