By Silva, Müller

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Figure 2. High-resolution CT shows a diffuse decrease in attenuation and vascularity of the right lung and an endoluminal tumor in the right main bronchus. The patient was a 31-year-old woman with a typical carcinoid tumor. Diagnosis Hyperlucent lung, unilateral hyperlucent lung Suggested Readings Bouros D, Pare P, Panagou P, et al: The varied manifestation of pulmonary artery agenesis in adulthood. Chest 108:670-676, 1995. Lucaya J, Gartner S, Garcia-Pena P, et al: Spectrum of manifestations of Swyer-James-MacLeod syndrome.

Characteristic Radiologic Findings Findings include diffuse, increased lucency of both lungs, which usually is associated with decreased vascularity and increased lung volumes. Less Common Radiologic Manifestations Imaging may show central pulmonary arteries that are enlarged by chronic pulmonary arterial hypertension. 22 Differential Diagnosis n Emphysema n Asthma n Bronchiolitis in infants n Bronchiolitis obliterans n Pulmonary arterial hypertension n Kyphosis n Bilateral mastectomy n Overexposed chest radiograph Discussion The most common cause of generalized bilateral hyperlucency and overinflation of both lungs is emphysema.

1 and 2) or involve mainly the upper or lower lung zones. Common associated findings in patients with pulmonary Langerhans cell histiocytosis include small nodules, ground-glass opacities, and emphysema. Cysts in patients with Pneumocystis pneumonia, lymphoid interstitial pneumonia (LIP), or hypersensitivity pneumonitis are usually seen in areas of ground-glass opacification. Less Common Radiologic Manifestations Pneumothorax is a common complication in pulmonary Langerhans cell histiocytosis, lymphangioleiomyomatosis, and lung cysts from Pneumocystis pneumonia.

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