Clinical Quiz

Snow Storm Pattern

A 23 year old Yemeni female presented with 6 month history of progressive shortness of breath. Her chest X-ray (Fig. 1) and chest computed tomography (CT) scan (Fig.1) are shown.

Fig. 1: Chest film (PA view) and axial computed tomography of the chest
show numerous bilateral miliary lung nodules.

Fig. 2: Thyroid scan using I¹³¹ shows high uptake within the thyroid gland,
cervical lymph nodes and diffuse uptake in both lungs due to metastasis.

Question

What is the most likely diagnosis?

Miliary Tuberculosis
Metastatic carcinoma
Calcified Varicella infection
Sarcoidosis
Alveolar Microlithiasis

[Answers to Clinical Image]


	CLINICAL IMAGES Humoud Al-Thuhli¹, Abdullah Al-Futaisi² Department of Radiology¹,Department of Medicine² Sultan Qaboos University Hospital
	Snow Storm Pattern A 23 year old Yemeni female presented with 6 month history of progressive shortness of breath. Her chest X-ray (Fig. 1) and chest computed tomography (CT) scan (Fig.1) are shown. Fig. 1: Chest film (PA view) and axial computed tomography of the chest show numerous bilateral miliary lung nodules. Fig. 2: Thyroid scan using I¹³¹ shows high uptake within the thyroid gland, cervical lymph nodes and diffuse uptake in both lungs due to metastasis. Question What is the most likely diagnosis? Miliary Tuberculosis Metastatic carcinoma Calcified Varicella infection Sarcoidosis Alveolar Microlithiasis [Answers to Clinical Image]