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AL Amyloidosis (Light Chain)

Imaging findings

Initial CT shows an alveolar septal pattern with septal thickening and crazy paving. A 15-year follow-up CT shows stable, dense, calcified or ossified deposits predominantly in the lower lobes.

Key takeaways

This is a rare presentation of amyloidosis. With treatment, patients can achieve remission, and the imaging findings can remain stable over a very long period.

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