Weekly Chest CasesArchive of Old Cases

Case No : 475 Date 2006-12-04

  • Courtesy of Hyun Ju Lee, MD / Seoul National University Hospital, Korea
  • Age/Sex 28 / M
  • Chief ComplaintRight chest wall swelling
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Chest Wall Tuberculosis (Empyema necessitatis) and Active Pulmonary Tuberculosis
Radiologic Findings
Plain chest radiograph shows well-demarcated mass opacity in right lower thorax. The lesion have a broad contact with the chest wall. Chest CT lung window setting shows cavitary nodules with tree-in-bud appearance in the right upper lobe. Chest CT mediastinal window setting shows fluid-attenuated abscess pocket in the right chest wall.
Brief Review
References
Please refer to case 49.
Keywords
Chest wall, Lung, Infection, Bacterial infection, Tuberculosis,

No. of Applicants : 53

▶ Correct Answer : 29/53,  54.7%
  • - Inje University Ilsan Paik Hospital Bae Geun Oh
  • - Marien Hospital, Germany Davis Chiramel
  • - Frcr Affiliation, Cape Breton Regional Hospital, Canada M Umar Islam
  • - Kh-Berlin, Germany Michael Weber
  • - Inha University Hospital , Korea Sang Uk Park
  • - Hopital Calmette, Chru Lille, France Toledano Manuel
  • - Asan Medical Center, Korea Hyun-Joo Kim
  • - Hangang Sacred Heart Hospital, Korea Eil Seong Lee
  • - Vital Imaging Centre, Mumbai, India Ganesh Agrawal
  • - Chr Annecy, France Segall Olivier
  • - Govt. Medical College Vadodara, India Vijay Vaidya
  • - Kangwon National University Hospital, Chunchon, Korea Ryu Se Min
  • - Homs National Hospital, Homs, Syria Rami Abou Zalaf
  • - Osaka University Graduate School Of Medicine, Japan Osamu Honda
  • - Doctors Hospital, Nassau, Bahamas N.B.S.Mani
  • - Nirman Hitech Diagnostic Centre, Mumbai, India Padma
  • - St. VincentHospital, Korea Chae-Hun Lim
  • - Sam Anyang Hospital, Korea Jae Seung Seo
  • - Radiologie Guiton, La Rochelle, France Jean-Luc Bigot
  • - University Of Tennessee Health Science Center, USA Xavier R. Packianathan
  • - Korea Seong-Hyup Kim
  • - Pgimer, Chandigarh, India Ram Prakash Galwa
  • - Unknown Santhosh Kannath
  • - Dong-A University Hospital, Busan, Korea Ki-Nam Lee
  • - Nassau, Bahamas Trupti Dabholkar
  • - P.D.Hinduja Hospital, Mumbai, India Sushil Mansingani
  • - Unknown Monika Sharma
  • - China Medical University Hospital,Taiwan Jun-Jun Yeh
  • - Hospital Jeanne De Flandres, Lille, France Benjamin Damarey
▶ Correct Answer as Differential Diagnosis : 4/53,  7.5%
  • - Service De Pneumologie, CHU De Nancy, France Abraham Bohadana
  • - Sai Baba Hospital, Shirdi, Maharashtra, India Swati Adhav
  • - Pgimer, Chandigarh, India Ashish Gupta
  • - Yonsei University Severance Hospital, Korea Hua-Sun Kim
▶ Semi-Correct Answer : 14/53,  26.4%
  • - Gg Hospital. Jamnagar. India Firoj Ghanchi
  • - Aditya Imaging Centre, Gujarat, India Vivek Patel
  • - Sri Ravi Nursing Home,Kazipet,India Pavan Kumar Vodithala
  • - Turkey Cetin Celenk
  • - Chu Grenoble, France Bing Fabrice
  • - National Taiwan University Hospital, Taiwan Yu-Feng Wei
  • - Radiologie Guiton, La Rochelle, France Denis Chabassiere
  • - Polyclinique De Savoie, Annemasse, France Gay-Depassier Philippe
  • - Zulekha Hospital, Dubai Julie Arora
  • - Zulekha Hospital, Dubai Saurabh Khandelwal
  • - Annecy Hospital, France Gilles Genin
  • - Apollo Hospitals, Bangalore,India Rg Gopinath
  • - Apollo Hospitals, Bangalore, India Ridhar.A.S
  • - Dr. B. Nanavati Hospital , Mumbai, India Rahul Deshmukh
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