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Recurrent pulmonary capillary hemangiomatosis

Imaging findings

Serial chest CT scans over 13 years show progressive, diffuse interstitial/septal thickening and crazy-paving in a native lung, followed by the development of similar ground-glass nodules and septal thickening in a transplanted lung. Histopathology of both lungs confirmed pulmonary capillary hemangiomatosis.

Key takeaways

Pulmonary capillary hemangiomatosis is a rare cause of post-capillary pulmonary hypertension. While treated with lung transplantation, it has a high propensity to recur in the transplanted lung, behaving pathologically like a low-grade neoplastic process.

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