Pleuroparenchymal fibroelastosis (PPFE) is a rare, idiopathic interstitial pneumonia. wherein the first symptom might be dyspnea or a dry cough. The condition can also be manifested with chest pain secondary to pneumothorax. While the definitive diagnosis is based on a histological evaluation (which is not often performed), a computed tomography scan shows findings, such as apical fibrosis and pleural thickening of the apical lobes, which help assess the diagnosis. We describe a case of PPFE diagnosed radiologically in a 69-year-old man. This case highlights that PPFE is a pathology that can go unnoticed for a long time, and patients might neglect the revealing symptoms such as coughing.
Tracheal diverticulum (TD) is a rare entity in the literature. It is the consequence of a congenital or acquired weakness of the tracheal wall. The principal difference lies in the histological characteristics of the wall. Most cases are asymptomatic, but when symptoms are found, they are usually not specific. Therefore, the diagnosis is made based on the results of CT. We report a case of a 62-year-old female presenting with a chronic cough. A diagnosis of the TD was established on the basis of a thoracic CT scan.
The most common tumors causing pleural metastasis in women are gynecological cancers, with breast cancer at the top of the list. However, the revelation of the latter by pleural effusion is rare. We report the case of a 61-year-old woman, with a history of well-controlled asthma since the age of 20, who was initially consulted for dyspnea stage III of the Modified Medical Research Council score (mMRC). Chest X-ray showed moderate bilateral pleural effusion. The pleural biopsy concluded with a pleural metastasis of breast carcinoma.
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