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Pulmonary tumor embolism and lymphangitic carcinomatosis

Imaging findings

Serial chest CT scans show progressive, severe interlobular septal thickening, peribronchovascular cuffing, and a crazy-paving pattern, accompanied by right heart chamber enlargement, main pulmonary artery dilation, and diffuse prominence of pulmonary vessels containing microtumors.

Key takeaways

Pulmonary tumor embolism and lymphangitic carcinomatosis can present with severe interstitial edema and pulmonary hypertension due to microvascular occlusion. It typically occurs in patients with advanced gastric, breast, or colon cancer.

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