Pulmonary cholesterol granulomas in patients with pulmonary artery hypertension: chest radiographic and CT findings

AJR Am J Roentgenol. 1999 May;172(5):1317-9. doi: 10.2214/ajr.172.5.10227509.

Abstract

Objective: We describe the chest radiographic and CT findings of pulmonary cholesterol granulomas in patients with pulmonary artery hypertension.

Conclusion: Histopathologic evidence of cholesterol granulomas was found in five (25%) of 20 patients with severe pulmonary hypertension. In three of these five patients, the granulomas manifested on chest radiographs and CT as small centrilobular nodules mimicking the appearance of sarcoidosis, bronchiolitis, hypersensitivity pneumonitis, or aspiration.

MeSH terms

  • Adult
  • Cholesterol*
  • Female
  • Granuloma, Foreign-Body / complications
  • Granuloma, Foreign-Body / diagnostic imaging*
  • Humans
  • Hypertension, Pulmonary / complications
  • Hypertension, Pulmonary / diagnostic imaging*
  • Lung Diseases / complications
  • Lung Diseases / diagnostic imaging*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Tomography, X-Ray Computed

Substances

  • Cholesterol