Presentation
Palpitations, chest pain, SOB.
Patient Data
Age: 70 years
Gender: Female
From the case:
Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia
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Case Discussion
The combination of tiny nodules and mosaic attenuation in an older woman suggests a diagnosis of diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH). The larger nodule is compatible with a carcinoid tumor.
Mosaic attenuation in this condition is due to constrictive bronchiolitis.