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. 2021 Mar 30;11:7170. doi: 10.1038/s41598-021-85999-5

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© The Author(s) 2021

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Representative HRCT images with common appearance and co-existence of cysts with irregularly thickened walls. (A,B) A 39-year-old female with S-LAM. She had a left pneumothorax and the diagnosis was made histopathologically. Some of the cysts had irregularly thickened walls showing a “dot-like appearance”. (C) A 39-year-old female with S-LAM. Lung parenchymal radiolucency around the cysts with irregularly thickened walls in the left lung decreased compared to the right lung, suggesting lymphatic congestion in the left lung. The diagnosis of LAM was made histopathologically.