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A rare cause of crazy-paving and mediastinal lymphadenopathy: congestive heart failure
Aysegul Senturk1, Aysegul Karalezli, Ayse Nur Soyturk
1Department of Pulmonary Diseases, Ataturk Educational and Research Hospital, Bilkent/Ankara, Turkey.
Abstract:
Crazy-paving sign is a pattern seen on multislice computed tomography images of the lungs. It is characterized by a reticular pattern superimposed on ground-glass opacity. It was first described in the late 1980s in patients with pulmonary alveolar proteinosis, but has now been described in some other diseases of the lung. Enlarged mediastinal lymph nodes can be seen in infectious and specific inflammatory diseases and malignancies. The present report describes a case of a 44-year-old man in whom congestive heart failure presented with a crazy-paving appearance and enlarged lymph nodes of the lungs on the chest computed tomography scan.
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