Mounier-Kuhn Syndrome Mimicking Lymphangioleiomyomatosis

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Mounier-Kuhn Syndrome Mimicking Lymphangioleiomyomatosis Gustavo G. Pacheco, BS, Amanda M. Jones, CRNP, Jianhua Yao, PhD, David E. Kleiner, MD, PhD, Angelo M. Taveira-DaSilva, MD, PhD, Joel Moss, MD, PhD CHEST Volume 153, Issue 2, Pages e19-e23 (February 2018) DOI: 10.1016/j.chest.2017.10.024 Copyright © 2017 Terms and Conditions

Figure 1 A, B, CT images of the lungs demonstrating multiple large “cystic cavities,” sparing the periphery of the lung parenchyma. A solid mass within one of the cystic spaces in the right upper lobe is noted, which was found to be Aspergillus fumigatus. C, Of note is the enlarged trachea, which is best visualized on the anteroposterior CT image. D, A virtual bronchoscopy image of the dilated tracheobronchial tree. CHEST 2018 153, e19-e23DOI: (10.1016/j.chest.2017.10.024) Copyright © 2017 Terms and Conditions

Figure 2 Images obtained during fiberoptic bronchoscopy showing a dilated trachea and dilated lobar bronchi. CHEST 2018 153, e19-e23DOI: (10.1016/j.chest.2017.10.024) Copyright © 2017 Terms and Conditions

Figure 3 Lung histopathologic findings. A, A small intraparenchymal necrotizing granuloma with septate fungal hyphae, consistent with Aspergillus species (Gomori methenamine silver, ×600). B, Dilated thin-walled bronchiole (arrow) is shown next to an area of cystic emphysematous change (asterisk) (H&E, ×4). CHEST 2018 153, e19-e23DOI: (10.1016/j.chest.2017.10.024) Copyright © 2017 Terms and Conditions