CTICasesAtypical lung carcinoid
Imaging findings
Chest CT shows asymmetric, necrotic, and smudgy mediastinal and left hilar lymphadenopathy causing extrinsic compression of the left main and lingular bronchi, in a young patient. Histopathology confirmed atypical carcinoid.
Key takeaways
Carcinoid tumors can present in young patients with necrotic, asymmetric mediastinal and hilar lymphadenopathy, mimicking tuberculosis or lymphoma. Unlike sarcoidosis, the adenopathy is asymmetric, smudgy, and exerts significant mass effect on adjacent airways.
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