CHEST Board Review: SEEK Sessions (2 New Videos! September 2026)-SEEK Board Review Session 2026: Dr. Stephanie Levine

Video Transcription

Video Summary

The transcript reviews several pulmonary board-style cases and key takeaways. It contrasts lymphangioleiomyomatosis (LAM) with pulmonary Langerhans cell histiocytosis (LCH), highlighting differences in patient demographics, CT findings, stains, complications, and treatment. It then covers actinomycosis versus nocardiosis, emphasizing sulfur granules, AFB negativity, aspiration-related thoracic disease, and prolonged penicillin therapy for actinomycosis. Another case focuses on anterior mediastinal masses, identifying thymoma and its associations with myasthenia gravis, pure red cell aplasia, and hypogammaglobulinemia. The lecture also notes which lung diseases recur after transplant, especially sarcoidosis. A pleural mass case identifies solitary fibrous tumor of the pleura, including its obtuse pleural angle, paraneoplastic hypoglycemia, and clubbing/hypertrophic osteoarthropathy. Finally, rapid-fire questions review COPD inhaled steroid withdrawal, tezepelumab for non–type 2 asthma, normal pulmonary function changes in pregnancy, and the recommendation not to screen asymptomatic patients for COPD with spirometry.

Keywords

lymphangioleiomyomatosis

pulmonary langerhans cell histiocytosis

actinomycosis

thymoma

solitary fibrous tumor of the pleura

sarcoidosis transplant recurrence