Neurofibromatosis-Related Cystic Lung Disease and Emphysema
Imaging findings
CT demonstrated severe emphysema, particularly in the upper lobes with some central dot signs, but also revealed well-defined thin-walled cysts that were clearly distinct from emphysema, especially in the lower lung zones. Cutaneous neurofibromas were also visible on the soft tissue windows.
Key takeaways
Neurofibromatosis can cause a combination of emphysema (often smoking-related) and thin-walled cystic lung disease. Recognition of both features, along with cutaneous neurofibromas, can lead to the diagnosis of neurofibromatosis-related lung disease.
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