Kathryn E. Williams, MB
Maxwell L. Smith, MD
Philip J. Lyng, MD
Laszlo T. Vaszar, MD
Department of Pulmonary Medicine
Mayo Clinic Arizona
Scottsdale, AZ
History of Present Illness
A 45-year-old man with a history of dyslipidemia and a family history of early coronary artery disease (CAD) underwent coronary artery calcium scoring CT. He was a non-smoker and asymptomatic.
Past Medical History
In addition to his hyperlipidemia he has a history of obesity and impaired fasting glucose.
Physical Examination
His physical examination was unremarkable.
Radiography
The thoracic CT was interpreted as a low risk for CAD but there were incidental findings (Figure 1).
Figure 1. Panels A-C: Representative views from the thoracic CT scan in lung windows. Lower panel: video of thoracic CT in lung windows.
What incidental finding is not shown on thoracic CT scan. (Click on the correct answer to proceed to the second of six panels).
- Honeycombing
- Multiple small pulmonary nodules
- Patchy ground glass opacities
- Slightly enlarged mediastinal lymph nodes
Cite as: Williams KE, Smith ML, Lyng PJ, Vaszar LT. October 2015 pulmonary case of the month: I've heard of Katy Perry. Southwest J Pulm Crit Care. 2015;11(4):126-35. doi: http://dx.doi.org/10.13175/swjpcc123-15 PDF