Abstract
Lymphoma with lung involvement is not unusual. On chest radiographs, most cases present as bronchovascular-lymphangitic (40.8%) or nodular patterns (38.8%). Manifestation as unilateral opacity of the lung is a rare condition. We encountered an 82-year-old male patient who had suffered from progressive dyspnea for 1 month. Chest X-ray revealed right hemithorax opacity. Chest computed tomography revealed an 8.7 cm heterogenous tumor mass in the right-side hilar region with encasement of the right main bronchus. Multiple mediastinal lymph node enlargements were also found. Right-side lung cancer with mediastinal lymph adenopathy was first suspected. In the bronchoscopic examination, we found that the right-side bronchus upper division orifice was nearly totally occluded. Biopsy of the secondary carina was then done. Diffuse large B cell lymphoma was proved. We herein review the literature and discuss the image manifestations of thoracic lymphoma.
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