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Pulmoner alveoler mikrolitiyazisli bir hastada radyografik ve sintigrafik korelasyon [Respir Case Rep]
Respir Case Rep. 2018; 7(2): 123-126 | DOI: 10.5505/respircase.2018.97659

Pulmoner alveoler mikrolitiyazisli bir hastada radyografik ve sintigrafik korelasyon

Arzu Cengiz1, Emel Ceylan2, Can Zafer Karaman3
1Adnan Menderes niversitesi Tp Fakltesi, Nkleer Tp Anabilim Dal, Aydn
2Adnan Menderes niversitesi Tp Fakltesi, Gs Hastalklar Anabilim Dal, Aydn
3Adnan Menderes niversitesi Tp Fakltesi, Radyoloji Anabilim Dal, Aydn

Pulmoner alveolar mikrolitiyazis (PAM), alveoler kalsiyum fosfat mikrolitlerinin birikimine yol aan, nedeni bilinmeyen nadir bir hastalktr. Hastalarn ou asemptomatiktir, fakat radyolojik zellikleri olduka grltl ve neredeyse patognomoniktir. Kemik sintigrafisi erken pulmoner kalsifikasyonlarn saptanmasnda kullanlabilir. Bu yazda, PAM tans alan 65 yanda bir erkek hastann grntleme bulgular sunulmutur. Hasta, drt yldr devam eden nonspesifik gs ars, nefes darl, hrlt ve ksrk ikayetleriyle bavurdu. Akcier grafisinde ince retikler ve nodler infiltrasyon vard. Toraks bilgisayarl tomografisi, bilateral orta ve alt zonlarda ince kalsifiye intersitisyel nodller ve septal kalnlama gsterdi. Teknesyum 99m metilen difosfonat (Tc-99m MDP) ile yaplan tm vcut kemik sintigrafisinde pulmoner parankimde bilateral diffz tutulum izlendi.

Anahtar Kelimeler: Pulmoner alveoler mikrolitiyazis, X-Ray bilgisayarl tomografi, kemik sintigrafisi

Radiographic and scintigraphic correlation in a patient with pulmonary alveolar microlithiasis

Arzu Cengiz1, Emel Ceylan2, Can Zafer Karaman3
1Adnan Menderes University Faculty Of Medicine, Department Of Nuclear Medicine, Aydn, Turkey
2Adnan Menderes University, Faculty Of Medicine, Department Of Chest Disease, Aydn, Turkey
3Adnan Menderes University, Faculty Of Medicine, Department Of Radiology, Aydn, Turkey

Pulmonary alveolar microlithiasis (PAM) is a rare, idiopathic lung disease that leads to alveolar deposition of calcium phosphate microliths. Most patients are asymptomatic, but radiological features are quite marked and are nearly pathognomonic. Bone scintigraphy can be useful in the detection of early pulmonary calcifications. The imaging findings of a 65-year-old male patient who was diagnosed with PAM are described in this report. He presented with nonspecific chest pain, shortness of breath, wheezing, and a cough ongoing for 4 years. There was fine reticular and nodular infiltration seen on a chest X-ray. Chest computed tomography images revealed bilateral, diffuse, fine, calcified interstitial nodules and nodular septal thickening in the middle and lower lung zones. A whole body bone scintigraphy with technetium-99m methylene diphosphonate (Tc-99m MDP) revealed bilateral, diffuse uptake in the pulmonary parenchyma.

Keywords: Pulmonary alveolar microlithiasis, X-Ray computed tomography, bone scintigraphy

Olgunun Tomografi Kesitleri




Arzu Cengiz, Emel Ceylan, Can Zafer Karaman. Radiographic and scintigraphic correlation in a patient with pulmonary alveolar microlithiasis. Respir Case Rep. 2018; 7(2): 123-126

Sorumlu Yazar: Arzu Cengiz, Trkiye
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