2022 , Vázquez-Lavista, Luis Gabriel , Ramírez Muciño, José Arturo , López-Almanza, Perla Ximena , Janka-Zires, Marcela
A 38-year-old woman arrived at the emergency department complaining of left lower back pain, nausea, malaise, and mild chest discomfort. On physical examination she was pale and had multiple skin fibromas. Her abdominal exam was benign, and she was vitally stable. Her heart rate was 90 beats per minute. Labs were notable with a reported hemoglobin level of 9 mg/dl. Given her symptoms, a CT of her chest, abdomen and pelvis was performed. A bleeding angiomyolipoma on the left kidney was identified (Fig. 1), along with a hyperdense lesion on the base of the left lung, compatible with incipient pulmonary lymphangiomyomatosis. © Urology
