Uncategorized Cancer 66F spiculated lesion with extension into the interlobular septa and background of severe centrilobular emphysemaAshley DAvidoffTheCommonVein.net Lung CancerSpiculated and Cavitating NoduleAshley DavidoffTheCommonVein.net Spiculaated PET positive Cancer with Satellite NodulesAshley DavidoffTheCommonVein.net28979c Inflammations Sarcoidosis 81 F with sarcoidosisIrregular spiculated solid noduleAshley DavidoffTheCommonVein.net SARCOIDOSIS with STELLATE NODULES42 year old female with known history of sarcoidosis characterised by confluent granulomas, with spiculated nodules, retractile fibrosis and moderate adenopathyAshley Davidoff MD Wegener’s Granulomatosis NODULES OF WEGENER”S GRANULOMATOSIS, aka GRANULOMATOSIS WITH POLYANGIITIS, GPA65 year old female presents with epistaxis and with nodular changes on CXR (a) magnified in b.CT scan in axial projection (c) and magnified in d, reveals 3 types of nodules.A spiculated solid nodule (red arrow head) is magnified in e, a bronchocentric nodule (teal arrowhead) is magnified in e. This may represent a cavitating nodule or hemorrhagic change around a bronchiole (cheerio sign) A ground glass nodule (white arrowhead) is magnified in g.Ashley Davidoff MD Langerhans Cell Histiocytosis Spiculated Nodule of Langerhans Cell Histiocytosis in a background of Centrilobular EmphysemaTheCommonVein.net Langerhans Cell HistiocytosisLangerhans Cell is a dendritic white cell with a wavy nucleus that creates granulomas and infiltrates the interstitium. It thus causes spiculated nodules that appear as spiculated nodules on CTAshley DavidoffTheCommon Vein.net Chronic inflammation giant cell reaction 44 year old male spiculated nodule bx showed chronic inflammation giant cell reactionAshley Davidoff MD TheCommonVein.net Infections Candida 66 y/o m w/ hx of CLL presentsfever and chills3 days later IR guided CT biopsy of the right upper lobe lesionprogression of diseaseneg for AFBAshley Davidoff TheCommonVein.net Idiopathic Pleuro-parenchymal Fibroelastosis IDIOPATHIC PLEUROPARENCHYMAL FIBROELASTOSIS83 year old man with COPD and emphysema presented with bilateral shoulder pain. X-ray examination of his shoulders revealed a stellate nodule in his LUL. CT showed evidence of emphysema with a 15x14mm nodule with evidence of surrounding scarring and retraction.On PET scan the nodule was PET avid with an SUV of 4.5 consistent with a malignant neoplasmSurgery was performed and the pathology was consistent with idiopathic pleuroparenchymal fibroelastosisFollow up CTs 5years following surgery have shown stabilityAshley Davidoff MD TheCommonVein.net see Idiopathic Pleuroparenchymal Fibroelastosis IDIOPATHIC PLEUROPARENCHYMAL FIBROELASTOSIS83 year old man with COPD and emphysema presented with bilateral shoulder pain. X-ray examination of his shoulders revealed a stellate nodule in his LUL. CT showed evidence of emphysema with a 15x14mm nodule with evidence of surrounding scarring and retraction.On PET scan the nodule was PET avid with an SUV of 4.5 consistent with a malignant neoplasmSurgery was performed and the pathology was consistent with idiopathic pleuroparenchymal fibroelastosisFollow up CTs 5years following surgery have shown stabilityAshley Davidoff MD TheCommonVein.net see Idiopathic Pleuroparenchymal Fibroelastosis Amyloidosis Spiculated Nodule in Amyloidosis87 year old female with known nodular form of amyloidosis. The axial CT scan shows a spiculated nodule with surrounding ground glass changesAshley Davidoff Boston Medical Center TheCommonvein.net LV-006 mag spiculatedb Links and References TCV Map of Nodules