An Unusual Radiologic Pattern of Cryptogenic Organizing Pneumonia: Diffuse Pulmonary Nodules in a Leukemia Patient.
- Author:
Kai Hsiung KO
1
;
Hsian He HSU
;
Woei Yau KAO
;
Ching Feng CHANG
;
Ming Fang CHENG
;
Guo Shu HUANG
Author Information
- Publication Type:Case Report
- Keywords: Cryptogenic organizing pneumonia; Pulmonary nodules; Leukemia
- MeSH: Cryptogenic Organizing Pneumonia/complications/*radiography; Diagnosis, Differential; Female; Humans; Leukemia, Myeloid, Acute/*complications/pathology; Lung/*radiography; Lung Neoplasms/radiography/secondary; Middle Aged; Multiple Pulmonary Nodules/complications/*radiography
- From:Korean Journal of Radiology 2009;10(1):93-96
- CountryRepublic of Korea
- Language:English
- Abstract: The radiological appearance of diffuse discrete pulmonary nodules associated with cryptogenic organizing pneumonia (COP) has been rarely described. We describe a case of COP in 49-year-old woman with acute myeloid leukemia who developed diffuse pulmonary nodules during the second course of induction chemotherapy. The clinical status of the patient and imaging findings suggested the presence of a pulmonary metastasis or infectious disease. A video-assisted thoracoscopic lung biopsy resulted in the unexpected diagnosis of COP as an isolated entity. Steroid therapy led to dramatic improvement of the clinical symptoms and the pulmonary lesions.