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Pulmonary marginal zone B-cell lymphoma of MALT

Imaging findings

Chest CT shows striking, bilateral, smooth interlobular septal thickening, peribronchovascular cuffing, and a left basal consolidative mass. Transbronchial biopsy confirmed marginal zone B-cell lymphoma of MALT with plasmacytoid differentiation.

Key takeaways

Primary pulmonary B-cell lymphoma of MALT can atypically present with a lymphatic distribution, manifesting on CT as smooth interlobular septal thickening and peribronchial cuffing, mimicking pulmonary edema or lymphangitic carcinomatosis.

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