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Lymphoid interstitial pneumonia (LIP) in Sjögren's syndrome

Imaging findings

Serial CT scans over 11 years show progressive enlargement and confluence of multiple thin-walled, perivascular cysts in a basally predominant distribution, complicated by a spontaneous pneumothorax.

Key takeaways

LIP is a benign lymphoproliferative disorder strongly associated with Sjögren's syndrome. The classic CT finding is thin-walled perivascular cysts that can enlarge slowly over decades and cause spontaneous pneumothorax.

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