CTICasesDiffuse Large B-Cell Lymphoma of the Lung and Pericardium
Imaging findings
Chest CT shows a large necrotizing mass in the left upper lobe with an air-fluid level and associated consolidation and collapse. There is contiguous soft tissue thickening of the pericardium with a pericardial effusion and a large mass encasing the coronary arteries without causing luminal collapse. A prior PET scan from months earlier demonstrated the necrotizing left upper lobe mass with a normal heart, indicating subsequent progression of the disease into the pericardium.
Key takeaways
Diffuse large B-cell lymphoma (DLBCL) can primarily involve the lung and dramatically extend along lymphatic pathways to encase the pericardium and epicardial structures. While pericardial encasement without coronary compression is highly suggestive of lymphoma, the atypical presentation of a necrotic pulmonary mass can initially mimic infectious disease or metastatic lung carcinoma.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Disseminated Varicella Pneumonia and Unilateral Metastatic Pulmonary CalcificationInfection
- Left Upper Lobe Partial Anomalous Pulmonary Venous ReturnCongenital
- Traumatic Aortic PseudoaneurysmTrauma
- Sternal Metastasis from Prostate CancerNeoplastic
- Incidental Lung Adenocarcinoma of the Superior SegmentNeoplastic
- Bronchial CarcinoidNeoplastic
- Rib PlasmacytomaNeoplastic
- Aneurysm of an Aberrant Right Subclavian ArteryVascular
See all cases from February 1, 2017 →
Related Neoplastic cases
- Lipomatous Hypertrophy of the Interatrial Septum
- Rib Hemangioma
- Combined Right Upper and Middle Lobe Collapse due to Central Bronchial Obstruction
- T-cell Lymphoblastic Lymphoma
- Metastatic Malignant Peripheral Nerve Sheath Tumor in Neurofibromatosis Type 1
- Cavitary Pulmonary Metastases from Thymic Carcinoma