Abstract

GARRO, María Manuela; CHURIN, Lisandro  and  QUADRELLI, Silvia. Atypical Expression of Rare Disease Manifested with Cavitary Lung Nodules. Rev. am. med. respir. [online]. 2023, vol.23, n.1, pp.47-49. ISSN 1852-236X.  http://dx.doi.org/10.56538/ramr.miem6866.

Lung nodules can vary in nature: solid, ground glass, granulomatous or non-granulo matous, cavitary or non-cavitary. They are a common finding in chest imaging when the patient comes to the consultation. According to their characteristics and the patient’s history (medical history, physical examination, and laboratory results), they guide us towards different etiologies: infectious, autoimmune, or oncological. However, many times it is a great clinical challenge.

We present the case of a young patient with no previous medical history who came to the consultation with a cough of 3 months of evolution. The chest CT showed left mediastinal mass displacing the trachea and bilateral cavitary lung nodules. After ruling out more probable etiologies based on frequency for the patient’s age and clinical manifestation, the diagnosis was: classic nodular sclerosing Hodgkin lymphoma with extranodal in volvement. A very rare disease, and in our case, with an atypical form of presentation.

Keywords : Lung nodules; Etiological study; Hodgkin lymphoma.

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