Table 1 Frequencies of chest HRCT findings in study participants.

From: Uncommon radiologic computed tomography appearances of the chest in patients with lymphangioleiomyomatosis

 

Total (n = 311)

S-LAM (n = 272) n (%)

TSC-LAM (n = 39) n (%)

P value

Age at presentation (y)

Mean ± SD

39.1 ± 9.4

39.2 ± 9.2

38.3 ± 10.3

P = 0.481

Median (range)

38 (19 – 71)

38 (19 – 71)

36 (21 – 66)

 

Cyst appearance

 Common appearance* alone

254 (81.7%)

223 (82.0%)

31 (79.5%)

P = 0.706

 Common appearance + large

  cysts†

52 (16.7%)

44 (16.2%)

8 (20.5%)

P = 0.497

 Common appearance + cysts with irregularly thickened walls

2 (0.6%)

2 (0.7%)

0

 

 Multiple thin-walled cysts, mostly large

2 (0.6%)

2 (0.7%)

0

 

 Multiple thin-walled cysts, mostly irregularly shaped

1 (0.3%)

1 (0.4%)

0

 

Findings in addition to cysts

Lymphatic congestion

24 (7.7%)

20 (7.4%)

4 (10.3%)

 

 Lobar area

16 (5.1%)

12 (4.4%)

4 (10.3%)

 

 Limited area

6 (1.9%)

6 (2.2%)

0

 

 Mediastinal area

2 (0.6%)

2 (0.7%)

0

 

Diffuse noncalcified nodules

6 (1.9%)

6 (2.2%)

0

 

 with small cavitary changes

4 (1.3%)

4 (1.5%)

0

 

 with ground-glass attenuation

3 (1.0%)

3 (1.1%)

0

 

TSC-related findings

 Rounded ground-glass

 opacities suggestive of MMPH

15 (4.8%)

1 (0.4%)

14 (35.9%)

P < 0.001

 Myocardial fatty foci

26 (8.4%)

8 (2.9%)

18 (46.1%)

P < 0.001

 Bone nodules

60 (19.3%)

28 (10.3%)

32 (82.1%)

P < 0.001

  1. HRCT high resolution computed tomography, LAM lymphangioleiomyomatosis, MMPH multifocal micronodular pneumocyte hyperplasia, SD standard deviation, S-LAM sporadic LAM, TSC-LAM tuberous sclerosis complex-associated LAM, y years of age.
  2. *Common appearance is multiple thin-walled oval-shaped pulmonary cysts distributed evenly throughout both lung fields.
  3. Large cysts are those > 2 cm.
  4. One patient had diffuse nodules with both small cavitary changes and ground-glass opacities.