“…Despite these limitations, the findings of Jreige et al have potential in improving the accurate identification of lymphangitic carcinomatosis, which has the treatment and prognostic implications. Lymphangitic carcinomatosis is associated with worse prognosis in various extrapulmonary malignancies (15)(16)(17). The prognostic impact of lymphangitic carcinomatosis in the setting of primary lung malignancies, however, is less clear.…”