306Lu Lymphocytic Interstitial Pneumonia (LIP) Low Grade B Cell Lymphoma Basilar Cystic Lesions44 year old female presents with a cough.CXR in 2 views suggest bibasilar cystic changes in the frontal view and cystic changes overlying the heart on the lateral examinationAshley Davidoff MD TheCommonVein.net117231b 306Lu Basilar Cystic Lesions44 year old female presents with a cough.CXR in 2 views suggest bibasilar cystic changes in the frontal view (c white rings) and cystic changes overlying the heart on the lateral examination (white ring d)Ashley Davidoff MD TheCommonVein.net 117231b 306Lu Basilar Cystic Lesions44 year old female presents with a cough.CT of the lung bases confirms the presence bibasilar cystic changes The cysts are thin walled and many are associated with bronchovascular bundles. Nodular changes are noted with the cyst in the anterior aspect of the inferior lingula. The patient has path proven low grade B cell lymphoma and LIPAshley Davidoff MD TheCommonVein.net 117231b 306Lu Bilateral Upper Lobes Thin Walled Cysts44 year old female presents with a cough.Axial CT through the upper lobes shows multiple thin walled cysts in close association with vesselsPatient has path proven low grade B cell lymphoma and LIPAshley Davidoff MD TheCommonVein.net 117232 306Lu Right Upper Lobe Bronchovascular Nodular Opacity and Bronchovascular Bundle Alongside Thin Walled Cyst44 year old female presents with a cough.Axial CT through the upper lobes shows a complex nodular opacity in close association with a bronchovascular bundle a, magnified in b and c). There is also a thin walled cyst in close association with bronchovascular bundles running alongside the cyst (a,and d)Patient has path proven low grade B cell lymphoma and LIP and these changes are manifestations of the lymphocytic infiltrate alongside the bronchovascular bundleAshley Davidoff MD TheCommonVein.net117234c 306Lu Right Upper Lobe Bronchovascular Nodular Opacity and Bronchovascular Bundle Alongside Thin Walled Cyst44 year old female presents with a cough.Axial CT through the upper lobes shows a complex nodular opacity in close association with a bronchovascular bundle (red circles a, magnified in b and c). There is also a thin walled cyst in close association with bronchovascular bundles running alongside the cyst (red circle a,and d) and a second smaller cyst with similar features (b, teal arrowhead)Patient has path proven low grade B cell lymphoma and LIP and these changes are manifestations of the lymphocytic infiltrate alongside the bronchovascular bundleAshley Davidoff MD TheCommonVein.net117234cL 306Lu Right Upper Lobe Bronchovascular Nodular Thickening and a Thin Walled Cyst in Close Association with a Blood Vessel44 year old female presents with a cough.Axial CT through the upper lobes multifocal irregular thickening surrounding the segmental bronchus with a cluster of micronodules at its distal extent (magnified in b). In the posterior segment of the right upper lobe there is a thin walled cyst in close association with a blood vessel. (magnified in c).The patient has path proven low grade B cell lymphoma and LIP and these changes are manifestations of the lymphocytic infiltrate alongside the bronchovascular bundleAshley Davidoff MD TheCommonVein.net117235c 306Lu Right Upper Lobe Bronchovascular Nodular Thickening and a Thin Walled Cyst in Close Association with a Blood Vessel44 year old female presents with a cough.Axial CT through the upper lobes multifocal irregular thickening surrounding the segmental bronchus with a cluster of micronodules at its distal extent (magnified in b). In the posterior segment of the right upper lobe there is a thin walled cyst in close association with a blood vessel. (magnified in c).The patient has path proven low grade B cell lymphoma and LIP and these changes are manifestations of the lymphocytic infiltrate alongside the bronchovascular bundleAshley Davidoff MD TheCommonVein.net117235c 306Lu Right Upper Lobe Bronchovascular Nodular Thickening and a Thin Walled Cyst in Close Association with a Blood Vessel44 year old female presents with a cough.Axial CT through the upper lobes multifocal irregular thickening surrounding the segmental bronchus (red circle b), with a cluster of micronodules at its distal extent (magnified in b red arrow head).In the posterior segment of the right upper lobe there is a thin walled cyst in close association with a blood vessel. (magnified in c and teal circle).The patient has path proven low grade B cell lymphoma and LIP and these changes are manifestations of the lymphocytic infiltrate alongside the bronchovascular bundleAshley Davidoff MD TheCommonVein.net117235cL 306Lu Spiculated Right Lower Lobe Nodule and Left Lower Lobe Cyst Associated with a Bronchovascular Bundle44 year old female presents with a cough.Axial CT through the lower lobes show a spiculated nodule in the right lower lobe that is associated with a bronchus. There is a thin walled cyst in the superior segment of the left lower lobe associated with a bronchovascular bundle running along side the cyst.The patient has path proven low grade B cell lymphoma and LIP and these changes are manifestations of the lymphocytic infiltrate alongside the bronchovascular bundlesAshley Davidoff MD TheCommonVein.net117237c 306Lu Spiculated Right Lower Lobe Nodule and Left Lower Lobe Cyst Associated with a Bronchovascular Bundle44 year old female presents with a cough.Axial CT through the lower lobes show a spiculated nodule in the right lower lobe (red circle c) that is associated with a bronchus (teal arrow c).There is a thin walled cyst in the superior segment of the left lower lobe that is associated with a bronchovascular bundle running along side the cyst (teal circle c).The patient has path proven low grade B cell lymphoma and LIP and these changes are manifestations of the lymphocytic infiltrate alongside the bronchovascular bundlesAshley Davidoff MD TheCommonVein.net117237cL306Lu Lingula Nodule and Left Lobe Nodule Associated with Lingular and LLL Cysts44 year old female presents with a cough.Axial CT through the mid to lower chest shows an ill defined irregular nodule in the lingula associated with a bronchovascular bundle and a cyst (b) A similar ill defined irregular nodule in the LLL associated with a bronchovascular bundle and a cyst (c) Bronchovascuklar bundles are noted alonside the cysts.The patient has path proven low grade B cell lymphoma and LIP and these changes are manifestations of the lymphocytic infiltrate alongside the bronchovascular bundlesAshley Davidoff MD TheCommonVein.net117238cL 306Lu Lingula Nodule and Left Lobe Nodule Associated with Lingular and LLL Cysts44 year old female presents with a cough.Axial CT through the mid to lower chest shows an ill defined irregular nodule in the lingula associated with a bronchovascular bundle alongside a cyst (a, orange arrowhead and b orange circle)A similar ill defined irregular nodule in the LLL is associated with a bronchovascular bundle and a cyst (a teal arrowhead, c teal circle)The patient has path proven low grade B cell lymphoma and LIP and these changes are manifestations of the lymphocytic infiltrate alongside the bronchovascular bundlesAshley Davidoff MD TheCommonVein.net117238cL 306Lu