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Sjogren's Syndrome with Cystic Lung Disease and Bronchiectasis

Imaging findings

This patient with known Sjogren's syndrome exhibits cystic spaces and bronchiectasis, with some foci that may represent lymphoid hyperplasia. While bronchi are dilated, many areas show inflamed, thickened bronchial walls, which helps distinguish it from the prior case of thin-walled bronchiectasis. Amorphous calcified material is also noted.

Key takeaways

This case illustrates lung manifestations of Sjogren's syndrome, including cystic lung disease and bronchiectasis. The presence of inflamed, thickened bronchial walls helps differentiate it from conditions like Williams-Campbell syndrome, despite some shared features of bronchial dilatation. The discussion also touches on possible elastolysis from protein deposition (amyloid) as a mechanism for cystic changes.

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