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KMID : 1103720120670040241
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Journal of the Korean Society of Radiology
2012 Volume.67 No. 4 p.241 ~ p.244
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Gradual Progression of Intrapulmonary Lymph Nodes Associated with Usual Interstitial Pneumonia in Progressive Systemic Sclerosis on Chest Radiographs and CT
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Kim Seon-Mun
Ohm Joon-Young
Chung Myung-Hee
Kim Yong-Hyun
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Abstract
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A 40-year-old female visited the clinic for evaluation of Raynaud’s phenomenon for a period of four years. The initial chest radiograph showed a fine reticular density and ground glass opacity with lower lobe predominance. These findings are consistent interstitial fibrosis. Additionally, high resolution CT showed multiple, small, coexisting nodular opacities, ranging from 3 to 7 mm in size in both lungs. These nodules grew up to 1.5 cm and showed moderate enhancement. Because of the rareness of intrapulmonary lymph node in patient of progressive systemic sclerosis, we couldn’t exclude the possibility of malignancy. These nodules are turned out to be intrapulmonary lymph nodes on video-assisted thoracoscopic lung biopsy.
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KEYWORD
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Progressive Systemic Sclerosis, Intrapulmonary Lymph Node
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