INTRAPULMONARY LYMPH-NODES

We report two cases of intrapulmonary lymph nodes detected by a chest roentgenogram or CT scan. The first patient was a 61-year-old fisherma n referred complaining of cough and hemosputum. Chest roentgenogram sh owed a subpleural small nodular shadow at the superior segment of the right lower lobe. Thoracotomy showed a small anthractotic lymph node. The other case was a 68-year-old female patient admitted for further e xamination of a subpleural small nodular shadow at the latero-basal se gment of the left lower lobe detected on a chest CT scan. Thoracoscopi c surgery revealed that the black nodule was an anthracotic lymph node . The appearance of an intrapulmonary lymph node on radiological exami nation is rare, however, it should be considered in the differential d iagnosis of a solitary or multiple peripheral pulmonary nodules in adu lts. A small nodular shadow should be resected if malignancy is suspec ted though not proven. Subpleural intrapulmonary lymph node warrants t horacoscopic surgery.