Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2018, Vol. 40 ›› Issue (5): 710-713.doi: 10.3881/j.issn.1000-503X.10568

• Case Reports • Previous Articles     Next Articles

Pulmonary Bulla and Bilateral Diffusely-distributed Nodules: Report of One Case and Literature Review

QIAO Yixian1, LUO Jinmei1(), XIAO Yi1, ZHAO Dachun2   

  1. 1 Department of Respiratory Medicine, CAMS and PUMC,Beijing 100730,China
    2 Department of Pathology, PUMC hospital, CAMS and PUMC,Beijing 100730,China;
  • Received:2018-05-23 Online:2018-10-30 Published:2018-11-07
  • Contact: Jinmei LUO
  • Supported by:
    Supported by the National Natural Sciences Foundation of China(81570085)


Lung cancer is mostly characterized by a pulmonary solid mass on CT. In rare cases,patients do not have these typical manifestation but present with diffusely-distributed small nodules and pulmonary bullae,which can easily be misdiagnosed. A special case of lung adenocarcinoma was managed in our hospital from September 24th to December 19th in 2016. Under high-resolution CT,multiple nodules were seen in both lungs,mostly in the upper lungs,involving the pleura and interlobular fissures. Some nodules had cystic changes. A large bulla was seen in the left upper lung. Its wall was thickened with multiple nodules. Lung adenocarcinoma was pathologically confirmed.

Key words: lung cancer, pulmonary nodules, pulmonary bulla, diagnosis

CLC Number: