Breathlessness

45-year-old patient with laryngeal cancer presented with history of breathlessness, hemoptysis, increased creatinine.

Figure 1. Scanogram shows multiple miliary lung nodules.

Figure 2. Multiple lung nodules in random distribution. Mild interlobular septal thickening and peribronchial cuffing.

Figure 3. Multiple lung nodules in random distribution. Mild interlobular septal thickening and peribronchial cuffing.

Figure 4. Multiple lung nodules in random distribution. Mild interlobular septal thickening and peribronchial cuffing.

Figure 5. Multiple lung nodules in random distribution. Mild interlobular septal thickening and peribronchial cuffing.

Figure 6. Multiple lung nodules in random distribution. Mild interlobular septal thickening and peribronchial cuffing.

Figure 7. Multiple lung nodules in random distribution. Mild interlobular septal thickening and peribronchial cuffing.

Figure 8. Multiple lung nodules in random distribution. Mild interlobular septal thickening and peribronchial cuffing.

Figure 9. Lytic lesion seen in dorsal vertebra.

Diagnosis: Crazy paving

Crazy paving is terminology used to represent finding of ground-glass opacity along with thickening of interlobular septae.

Clinical and radiological correlation is essential in reaching diagnosis.