Tuberous sclerosis with myocardial fatty foci

Case contributed by Stefan Tigges
Diagnosis almost certain

Presentation

Shortness of breath.

Patient Data

Age: 50 years
Gender: Female

Central line appropriately positioned, minimal coarse lung markings, no edema/pneumonia/pneumothorax/pleural effusion.

Innumerable fairly uniform in size and distribution thin-walled lung cysts, no edema/pneumonia/pneumothorax/pleural effusion. Multiple myocardial fatty foci.

Case Discussion

The combination of lung findings of lymphangioleiomyomatosis (innumerable fairly uniform in size and distribution thin-walled lung cysts) and multiple myocardial fatty foci is characteristic of tuberous sclerosis.

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