case_images: PMC4717644_01
case_images: HRCT shows extensive cystic air spaces throughout both lungs with right pneumothorax
case_images: 13019_2016_397_Fig1_HTML.jpg
case_images: PMC4717644_01_13019_2016_397_Fig1_HTML.jpg
case_images: Fig1
case_images: A lung HRCT scan showed extensive cystic air spaces throughout both lungs on suspicion of lymphangioleiomyomatosis (LAM) (Fig. 1).
case_images: Histopathological findings of the lung biopsy demonstrated numerous lymphocyte infiltration and pulmonary interstitial cholesterol crystals (hematoxylin-eosin staining)
case_images: 13019_2016_397_Fig2_HTML.jpg
case_images: PMC4717644_01_13019_2016_397_Fig2_HTML.jpg
case_images: Fig2
case_images: HMB-45, beta-catenin, SMA, ER, and PR, within the lung, alveolar walls and blood vessels not in keeping with LAM. However, there are diffuse pulmonary interstitial cholesterol clefts surrounded by lymphocytes, without the formation of granulomas (Fig. 2).