Pleuroparenchymal fibroelastosis

Case contributed by Nolan Walker
Diagnosis possible

Presentation

Worsening SOB.

Patient Data

Age: 70 years
Gender: Male

This HRCT study reveals:

  • marked bilateral apical pleural thickening

  • apical caps

Additionally, architectural distortion, is demonstrated with:

  • Traction bronchiectasis, seen in the lung apices

  • Bronchial wall thickening. most notably in the lower lobes

  • Upper lung volume loss

  • Peripheral consolidation (seen in the upper lobes)

Case Discussion

Known case of pleuroparenchymal fibroelastosis.

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