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Case Reports
. 2024 Jan 2:47:101977.
doi: 10.1016/j.rmcr.2023.101977. eCollection 2024.

Lung consolidation in a young-age active smoker: An unexpected diagnosis

F R Bertuccio  1   2 , N Baio  1   2 , V Chino  1   2 , V Ferroni  1   2 , S Montini  1   2 , L Pisanu  1   2 , A Cascina  1   2 , V Conio  1   2 , A G Corsico  1   2 , G M Stella  1   2
Affiliations
Case Reports

Lung consolidation in a young-age active smoker: An unexpected diagnosis

F R Bertuccio et al. Respir Med Case Rep. .

Abstract

A 29-year-old man presented to Emergency Department with nonspecific symptoms. Through a series of radiological and invasive diagnostic studies we finally reach an unexpected diagnosis of hypersentivity pneumonitis; this is a complex and heterogeneous disease which diagnosis can be challenging as its clinical, radiologic and histopathologic features overlap with those of other interstitial lung diseases (ILDs). Diagnosing an ILD is a dynamic process, and that is the reason why complex cases discussed in a multidisciplinary team may need to be reconsidered in light of evolution of the disease and the results of the performed exams with a flexible approach.

Keywords: Hypersensitivity pneumonitis; Interstitial lung diseases; Multidisciplinary-team discussion.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Chest CT-SCAN of consolidation in the anterior segment of the left upper lobe with already present cystic alteration.
Fig. 2
Fig. 2
Chest PET SCAN with signal uptake from the opacification in the left upper lobe (SUV 13.83) and from mediastinal lymph nodes in the aortopulmonary region (SUV 4.46), paratracheal (SUV 4), sub-carinal (SUV 5.34) e hilar regions bilaterally (SUV 4.82).
Fig. 3
Fig. 3
Chest CT-SCAN showing complete resolution of the opacification in the left upper lobe and in the right lung. There was no evidence of new appearance of ground-glass or solid lesions.
See this image and copyright information in PMC

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