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[Intrapulmonary adenopathies. Apropos of a case]
L Boyer1, J L Michel, G Escande
1Service de Radiologie, Hôpital Saint-Jacques, Clermont-Ferrand.
Journal De Radiologie
|November 1, 1989
Summary
An intra-pulmonary lymph node presented as a peripheral subvisceral pleural nodule, an uncommon cause of coin lesions in adults. Diagnosis requires histologic confirmation, as imaging features are non-specific.
Area of Science:
- Pulmonology
- Radiology
- Pathology
Background:
- Peripheral subvisceral pleural nodules can present diagnostic challenges.
- Intra-pulmonary lymph nodes are an uncommon cause of coin lesions in adults.
Observation:
- A case report details a peripheral subvisceral pleural nodule identified as an intra-pulmonary lymph node.
- This presentation is an uncommon pattern within the spectrum of adult coin lesions.
Findings:
- Improved CT scan sensitivity increases detection of small pulmonary nodules, potentially raising the incidence of this diagnosis.
- Radiologic features of intra-pulmonary lymph nodes are non-specific.
Implications:
- Histologic confirmation is essential for accurate diagnosis.
- Percutaneous needle biopsy may not always preclude the need for exploratory minithoracotomy.