Figure 5: renal angiomyolipoma (stars) found on CT scan of abdomen
Taking all these into account, in accordance with the diagnostic criteria laid down by the American Thoracic Society, the patient was diagnosed as a case of pulmonary lymphangioleiomyomatosis associated with tuberus sclerosis complex (TSC-LAM).
After her right lung fully expanded, the sonological examination and X-rays both showed an automatic pleural thickening probably induced by prior infection and the presence of the intercostal drainage tube. Additional chemically induced pleurodesis was therefore deemed unnecessary (figure 6 ).