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Lung India • Vol 30 • Issue 4 • Oct ‐ Dec 2013 Chest radiograph did not show any abnormal findings. We obtained a high resolution computed tomography (CT) scan of the chest which revealed multiple bizarre shaped lung parenchymal cysts mostly involving the upper lobes of the lungs and sparing the bases [Figure 1, Panel A and B]. Based on these characteristic findings a diagnosis of PLCH was made and patient was strongly advised against smoking and was prescribed some over-the-counter cough suppressants for symptomatic relief. Patient successfully quit smoking and over next 1 year her symptom improved greatly.

Differentiating pulmonary lymphangioleiomyomatosis from pulmonary langerhans cell histiocytosis and Birt-Hogg-Dube syndrome