대한흉부영상의학회 Weekly Chest Cases

Courtesy of Song Soo Kim / Department of Radiology, Chungnam National University Hospital
Age/Sex 45 / M
Chief ComplaintIncidentally found lung masses in the health check-up

Jan, 2008

Diagnosis: Amyloidosis
Radiologic Findings: Fig 1-2. There are multiple variable size nodules and masses with calcifications in both lungs. Some nodules are associated with conglomerated cenrilobular opacities.

Fig 3-4. The size of the nodules and masses increased and cavitary changes in some nodules are seen.
Brief Review: Localized nodular amyloidosis
- one or more intrapulmonary nodules or masses (amyloidomas).
- amyloidomas are usually misconstrued as neoplasm
- usually asymptomatic
- single or multiple
- 6th decade of life
- may calcify or undergo osseous metaplasia (Calcification 50%)
- Subpleural or peripheral location, lower lobes.
- D/Dx) primary or metastatic neoplasms.
- Resection -> diagnostic and curative
; long term observation for pulmonary amyloidosis
꽰 grow slowly and frequently had cavities or calcification
References: 1. Georgiades CS, Neyman EG, Barish MA, Fishman EK. Amyloidosis: review and CT manifestations. Radiographics. 200424(2):405-16.
Keywords: Lung, Connective tissue diseases,

대한흉부영상의학회 Korean Society of Thoracic Radiology