Presentation
Recent weight loss. Smoker with chronic cough.
Patient Data
Age: 50 years
Gender: Male
From the case:
Pulmonary Langerhan’s cell histiocytosis
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Widespread abnormal lung architecture with relative basal sparing and normal lung volume.
The patient subsequently presented to the emergency department with pleuritic chest pain and collapse.
From the case:
Pulmonary Langerhan’s cell histiocytosis
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New slim left apical pneumothorax. Otherwise stable appearnces
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Bilateral bizarre shaped cysts with architectural distortion and relative sparing of the lung bases, in keeping with pulmonary Langerhan's cell histiocytosis (PLCH).
Slim left sided pneumothorax with multiple septations within.
There was no pulmonary embolus (vascular windows not shown).
Case Discussion
The patient's pneumothorax resolved spontaneously. Pneumothorax is a common complication of PLCH.
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