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Lymphangitic carcinomatosis

Imaging findings

Chest CT shows diffuse, asymmetric, nodular interlobular septal thickening, pleural effusions, and shaggy peribronchovascular bundle thickening, in a patient with metastatic urothelial carcinoma of the bladder.

Key takeaways

Urothelial bladder carcinoma can rarely present with pulmonary lymphangitic carcinomatosis. The asymmetric, shaggy thickening of bronchovascular bundles and nodular septa helps distinguish this from cardiogenic congestion.

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