Nodules Spiculated

  • Cancer

  • 66F spiculated lesion with extension into the interlobular septa and background of severe centrilobular emphysema
    Ashley DAvidoff
    TheCommonVein.net
  • Lung Cancer
    Spiculated and Cavitating Nodule
    Ashley Davidoff
    TheCommonVein.net

    Spiculaated PET positive Cancer with Satellite Nodules
    Ashley Davidoff
    TheCommonVein.net
    28979c

  • Inflammations

    • Sarcoidosis
    • 81 F with sarcoidosis
      Irregular spiculated solid nodule
      Ashley Davidoff
      TheCommonVein.net

      SARCOIDOSIS with STELLATE NODULES
      42 year old female with known history of sarcoidosis characterised by confluent granulomas, with spiculated nodules, retractile fibrosis and moderate adenopathy
      Ashley Davidoff MD
    • Wegener’s Granulomatosis

    • NODULES OF WEGENER”S GRANULOMATOSIS, aka GRANULOMATOSIS WITH POLYANGIITIS, GPA
      65 year old female presents with epistaxis and with nodular changes on CXR (a) magnified in b.
      CT scan in axial projection (c) and magnified in d, reveals 3 types of nodules.
      A spiculated solid nodule (red arrow head) is magnified in e, a bronchocentric nodule (teal arrowhead) is magnified in e. This may represent a cavitating nodule or hemorrhagic change around a bronchiole (cheerio sign) A ground glass nodule (white arrowhead) is magnified in g.
      Ashley Davidoff MD
    • Langerhans Cell Histiocytosis
    • Spiculated Nodule of Langerhans Cell Histiocytosis in a background of Centrilobular Emphysema
      TheCommonVein.net
      Langerhans Cell Histiocytosis
      Langerhans Cell is a dendritic white cell with a wavy nucleus that creates granulomas and infiltrates the interstitium. It thus causes spiculated nodules that appear as spiculated nodules on CT
      Ashley Davidoff
      TheCommon Vein.net

      Chronic inflammation giant cell reaction

      44 year old male spiculated nodule bx showed chronic inflammation giant cell reaction
      Ashley Davidoff MD TheCommonVein.net

  • Infections

    • Candida
    • 66 y/o m w/ hx of CLL presents
      fever and chills
      3 days later 
      IR guided CT biopsy of the right upper lobe lesion
      progression of disease
      neg for AFB
      Ashley Davidoff TheCommonVein.net

       

    • Idiopathic Pleuro-parenchymal Fibroelastosis
    • IDIOPATHIC PLEUROPARENCHYMAL FIBROELASTOSIS
      83 year old man with COPD and emphysema presented with bilateral shoulder pain. X-ray examination of his shoulders revealed a stellate nodule in his LUL. CT showed evidence of emphysema with a 15x14mm nodule with evidence of surrounding scarring and retraction.
      On PET scan the nodule was PET avid with an SUV of 4.5 consistent with a malignant neoplasm
      Surgery was performed and the pathology was consistent with idiopathic pleuroparenchymal fibroelastosis
      Follow up CTs 5years following surgery have shown stability
      Ashley Davidoff MD TheCommonVein.net see Idiopathic Pleuroparenchymal Fibroelastosis
      IDIOPATHIC PLEUROPARENCHYMAL FIBROELASTOSIS
      83 year old man with COPD and emphysema presented with bilateral shoulder pain. X-ray examination of his shoulders revealed a stellate nodule in his LUL. CT showed evidence of emphysema with a 15x14mm nodule with evidence of surrounding scarring and retraction.
      On PET scan the nodule was PET avid with an SUV of 4.5 consistent with a malignant neoplasm
      Surgery was performed and the pathology was consistent with idiopathic pleuroparenchymal fibroelastosis
      Follow up CTs 5years following surgery have shown stability
      Ashley Davidoff MD TheCommonVein.net see Idiopathic Pleuroparenchymal Fibroelastosis

      Amyloidosis

      Spiculated Nodule in Amyloidosis
      87 year old female with known nodular form of amyloidosis. The axial CT scan shows a spiculated nodule with surrounding ground glass changes
      Ashley Davidoff Boston Medical Center TheCommonvein.net LV-006 mag spiculatedb