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Lymphangioleiomyomatosis with Chronic Pleural Effusions

Imaging findings

Chest CT in a young female patient shows thin-walled, uniform pulmonary cysts, scattered nodules, and chronic bilateral pleural effusions with extensive pleural thickening and extrapleural fat proliferation. This is highly suggestive of lymphangioleiomyomatosis (LAM) presenting with chylous effusions.

Key takeaways

LAM is a rare cystic lung disease of young women that can be complicated by chylous pleural effusions. Associated findings of chronic effusions include pleural thickening and reactive proliferation of extrapleural fat.

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