- 47 year old female
- Systemic lupus erythematosus 30 years ago
- Sjogren’s syndrome (20 years ago)
- Family history
- Rheumatoid arthritis
- SLE
- Kartageners
- PFT
- persistence of airflow obstruction
- borderline restrictive disease
- mild decrease in diffusion capacity
- Rx
- On steroids
-
CT 7 years ago
- Thin walled Cysts
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47f-SLE-Sjogrens-LIP-vs-Birt-Hogg-Dube-basilar-thin-walled-cysts-lymphadenopathy-001-CT-7-years-ago.jpg
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Ashley Davidoff TheCommonVein.netMild Middle Lobe Reticular Changes
Calcification associated with Cyst in the Lower Lobe
Subsegmental infiltrate around the Bronchovascular bundles in the Right Lower Lobe 7 years ago
Lymphadenopathy 7 years ago
47f-SLE-Sjogrens-LIP-vs-Birt-Hogg-Dube-basilar-thin-walled-cysts-lymphadenopathy-004-CT-7-years-ago.jpg
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.net1 Year Ago
- Cysts Mild Progression
- Lymphadenopathy Improved
- Improved RLL Infiltrate
-
Progressive Lingular Reticular Changes and Perhaps Tree in Bud?
-
Stable Calcification and a Cyst
-
Current
-
Cystic Changes Stable
-
Cysts Associated with Blood Vessels
-
Persistent Decreased Adenopathy ? Early Calcification
-
RLL Infiltrate Progressive Peribronchial Changes
-
47f-SLE-Sjogrens-LIP-vs-Birt-Hogg-Dube-basilar-thin-walled-cysts-lymphadenopathy-020-CT-current.jpg
Progressive RLL Infiltrate with Peribronchial Changes
47 F SLE Sjogrens LIP vs Birt-Hogg-Dube basilar thin walled cysts lymphadenopathy
Subsegmental right lower lobe infiltrate
Ashley Davidoff TheCommonVein.netLingular Changes of Nodules and Mild Reticular Change ? Improved
-
Stable Calcification and a Cyst
- CT multiple large
- cysts bilaterally, with
- lower lobe predominance,
- up to 4.1 cm
- slightly dysmorphic in shape,
- some simple and
- some multiseptated,
- not significantly changed since 4 years prior , but progressed over 7 yearsDifferential Diagnosis
- Birt-Hogg-Dube syndrome.
- Atypical LIP (lymphocytic interstitial pneumonitis) In the context of a
known negative FCLN gene mutation and an established diagnosis of
Sjogren’s syndrome, this could represent an atypical presentation of
lymphocytic interstitial pneumonitis.