Bronchioloalveolar carcinoma

Case contributed by Dr Hani Salam

Presentation

Shortness of breath and weight loss

Patient Data

Age: 75 years
Gender: Male
X-ray

Widespread fluffy airspace opacities, with almost complete white-out of the mid and lower zones on the left.

CT

Extensive airspace opacities with numerous air bronchograms. Trace of pleural fluid on the left only. No significant nodal enlargement.

Case Discussion

Chest x-ray demonstrates extensive and widespread fluffy airspace opacities, with almost complete white-out of the mid and lower zones on the left.

CT confirms extensive airspace opacities with numerous air-bronchograms. No pleural effusions or evidence of mediastinal adenopathy.

Sputum, right and left main bronchus lavage were positive for malignant cells consistent with carcinoma. A Tru-cut biopsy was suggested by the pathologist to confirm the diagnosis of bronchoalveolar carcinoma, the patient's condition meant that this was not possible.

PlayAdd to Share

Case information

rID: 9272
Published: 27th Mar 2010
Last edited: 13th Aug 2019
System: Chest
Tag: lung, bac
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.