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 ).