Fig. 28

A 77-old-year female patient affected by SS. After a chest radiograph—which showed pulmonary consolidations—she underwent a CT examination. A, B Right and left pulmonary consolidations are depicted (black arrows in the middle and left lower lobes); B a ground-glass attenuation area, with small nodules, is also demonstrated (empty white arrow). On mediastinal windowing level, the consolidations have homogenous density, appearing as soft attenuation masses (white arrows in C). A CT scan acquired at the cervical level, clearly demonstrate enlarged nodes in the supraclavicular spaces (white empty arrows in D); histological samples confirmed the development of a lymphoma in this SS patient. Consolidations, large nodules (> 1 cm) or pleural effusions; all these signs have been associated with lymphoma