Pulmonary Kaposi sarcoma

Case contributed by Dr Henry Knipe

Presentation

Chronic cough. History of HIV and previous PJP with incomplete treatment.

Patient Data

Age: 40 years
Gender: Male
CT

Bilateral irregular pulmonary nodules that are predominantly located in the mid and lower zones with a peripheral and peribronchovascular distribution. Many of these lesions encase distal pulmonary artery branches, which appear dilated in some of the lesions. Some adjacent ground glass opacity. Bilateral hilar lymphadenopathy. No pleural or pericardial effusion. 

Case Discussion

Given the history of HIV, the CT appearances were considered suspicious for Kaposi sarcoma, and this suspicion was confirmed on percutaneous biopsy. 

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Case information

rID: 57947
Published: 3rd Mar 2018
Last edited: 4th Mar 2018
System: Chest, Oncology
Inclusion in quiz mode: Included

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