Kamei Ayumi, Yamada Yasunari, Baba Hiroshi, Mizuuchi Hiroshi, Yamamoto Noriaki, Kouso Hidenori, Ito Kensaku, Mori Takaaki, Dotsu Takeaki, Takaki Hajime, Asayama Yoshiki
Department of Radiology, Oita Red Cross Hospital, Chiyo-machi, Oita, 870-0033, Japan.
Department of Radiology, Nakatsu Municipal Hospital, Nakatsu, Oita, 871-8511, Japan.
Radiol Case Rep. 2025 Jul 12;20(10):4898-4905. doi: 10.1016/j.radcr.2025.06.028. eCollection 2025 Oct.
We herein present a case involving a 62-year-old woman with a 1-month history of persistent dry cough. A thoracic computed tomography scan revealed multiple cystic lesions with well-defined thin septal thickening, tiny nodules, and areas of irregular consolidation characterized by irregular septal thickening in the right lower lobe. This thickening formed pentagonal and hexagonal patterns resembling a soccer ball. A ground-glass nodule was observed in a different area of the anterior basal segment of the right lung (S8) and was suspected to be adenocarcinoma in situ. This diagnosis was confirmed, along with placental transmogrification of the lung, after the patient underwent right lower lobectomy via video-assisted thoracoscopic surgery. Irregular septal thickening with pentagonal and hexagonal patterns resembling a soccer ball may suggest placental transmogrification of the lung in patients with multiple cystic lesions in a unilateral lung.
我们在此报告一例病例,患者为一名62岁女性,持续干咳1个月。胸部计算机断层扫描显示右下叶有多个囊性病变,伴有边界清晰的薄间隔增厚、微小结节以及不规则实变区域,其特征为不规则间隔增厚。这种增厚形成了类似足球的五边形和六边形图案。在右肺前基底段(S8)的不同区域观察到一个磨玻璃结节,怀疑为原位腺癌。在患者通过电视辅助胸腔镜手术接受右下叶切除术后,该诊断得到证实,同时还发现了肺的胎盘样化生。单侧肺出现多个囊性病变的患者中,类似足球的五边形和六边形图案的不规则间隔增厚可能提示肺的胎盘样化生。