Diffuse Large B-Cell Lymphoma Manifesting as Miliary Nodules in the Lung: A Case Report

Malignant lymphoma has various pulmonary manifestations on chest CT, including nodules, masses, areas of consolidation, and ground-glass opacity. These presentations can pose a diagnostic challenge, as they mimic other disease patterns. Herein, we report a case of diffuse large B-cell lymphoma (DLBC...

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Bibliographic Details
Published inJournal of the Korean Society of Radiology Vol. 84; no. 6; pp. 1391 - 1396
Main Authors Na, Hyo Ju, Kwon, Hyeyoung, Kim, Song Soo, Park, Hyung Kyu
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society of Radiology 01.11.2023
대한영상의학회
Subjects
diffuse large b-cell lymphoma
lymphoma
miliary nodule
miliary tuberculosis
Thoracic Imaging
방사선과학
Diffuse Large B-Cell Lymphoma
Miliary Tuberculosis
Lymphoma
Miliary Nodule
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Summary:Malignant lymphoma has various pulmonary manifestations on chest CT, including nodules, masses, areas of consolidation, and ground-glass opacity. These presentations can pose a diagnostic challenge, as they mimic other disease patterns. Herein, we report a case of diffuse large B-cell lymphoma (DLBCL) manifesting as miliary nodules in a 67-year-old male initially presenting with dyspnea and fever. Radiologic findings included diffuse, bilateral, multiple tiny nodules consistent with metastasis, miliary tuberculosis, and fungal infection. However, further investigations, including laboratory tests, imaging, and biopsies, led to the diagnosis of DLBCL involving the lungs. Herein we reported a rare case of lymphoma involvement of the lung presenting as miliary nodules. Accurate diagnosis relies on a comprehensive evaluation of the clinical history, physical features, laboratory test results, and imaging findings.
Bibliography:https://doi.org/10.3348/jksr.2023.0085
ISSN:2951-0805
2951-0805
DOI:10.3348/jksr.2023.0085