Na Hyo Ju, Kwon Hyeyoung, Kim Song Soo, Park Hyung Kyu
J Korean Soc Radiol. 2023 Nov;84(6):1391-1396. doi: 10.3348/jksr.2023.0085. Epub 2023 Nov 22.
Malignant lymphoma has various pulmonary manifestations on chest CT, including nodules, masses, areas of consolidation, and ground-glass opacity. These presentations can pose a diagnostic challenge, as they mimic other disease patterns. Herein, we report a case of diffuse large B-cell lymphoma (DLBCL) manifesting as miliary nodules in a 67-year-old male initially presenting with dyspnea and fever. Radiologic findings included diffuse, bilateral, multiple tiny nodules consistent with metastasis, miliary tuberculosis, and fungal infection. However, further investigations, including laboratory tests, imaging, and biopsies, led to the diagnosis of DLBCL involving the lungs. Herein we reported a rare case of lymphoma involvement of the lung presenting as miliary nodules. Accurate diagnosis relies on a comprehensive evaluation of the clinical history, physical features, laboratory test results, and imaging findings.
恶性淋巴瘤在胸部CT上有多种肺部表现，包括结节、肿块、实变区和磨玻璃影。这些表现可能带来诊断挑战，因为它们可模仿其他疾病模式。在此，我们报告一例67岁男性弥漫性大B细胞淋巴瘤（DLBCL）表现为粟粒样结节，该患者最初表现为呼吸困难和发热。影像学表现包括弥漫性、双侧多发的微小 结节，与转移瘤、粟粒性肺结核和真菌感染相符。然而，包括实验室检查、影像学检查和活检在内的进一步检查最终诊断为肺部受累的DLBCL。在此我们报告了一例罕见的淋巴瘤累及肺部表现为粟粒样结节的病例。准确诊断依赖于对临床病史、体格特征、实验室检查结果和影像学表现的综合评估。
