Weekly Chest CasesArchive of Old Cases

Case No : 517 Date 2007-09-24

  • Courtesy of Sung Su Byun, MD. / Inha University Hospital, Korea.
  • Age/Sex 74 / M
  • Chief ComplaintSputum, Aggravated chest X-ray abnormality after 1 year’s anti-Tb medication
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Bronchioalveolar carcinoma
Radiologic Findings
Figs 1. Chest PA shows inhomogeneous air-space consolidation in right upper zone and patchy ground glass opacity in left upper and mid zone.
Fig 2-4. HR CT scan shows multifocal patchy ground glass opacity with interlobular septal thickening in both lungs.
Figs 5. PET-CT scan shows patchy, hot uptake in both lungs.
Brief Review
Please refer to
Case 6, Case 132, Case 164,
References
Keywords
Lung, Malignant tumor, BAC

No. of Applicants : 45

▶ Correct Answer : 21/45,  46.7%
  • - Registrar in Radiology, UHL NHS Trust, UK. A. Donuru
  • - KAUMS, Kashan, Iran Ebrahim Razi
  • - Pune, India Rahul Deshmukh
  • - Nirman Hitech CT MR centre & Apollo clinic, Mumbai, India Jeshil Shah
  • - Nassau, Bahamas Trupti Dabholkar
  • - Annecy hospital, France Gilles Genin
  • - China Medical University Hospital, Taiwan Jun-Jun Yeh
  • - Lilavati Hospital, Mumbai, India Mahavir Swami
  • - Ondokuz Mayis University, Samsun Turkey Cetin Celenk
  • - E-Da hospital, Taiwan Yu-Feng Wei
  • - Gimpo Woori Hospital, Korea Son Youl Lee
  • - Yashodha Hospital, Hyderabad, Andhra Pradesh, India Satish Babu, Maddkuri
  • - Armed Forces ChunCheon Hospital (AFCC), Korea Chae Hun Lim
  • - Hospital Sotiria, Athens, Greece Vasilios Tzilas
  • - Ruby Hall Clinic, Pune, India John Smith
  • - Hangang Sacred Heart Hospital, Korea Eil Seong Lee
  • - IRSA La Rochelle, France Jean-Luc BIGOT
  • - Clinic 1, Moscow, Russia Lepikhina Dasha
  • - Dept. of Radiodiagnosis and Imaging, PGIMER, Chandigarh, India Ram Prakash Galwa
  • - Aarthi Scans, Tirunelveli, India A. Gopinath
  • - Jackson Memorial Hospital, Florida, USA N.B.S.Mani
▶ Correct Answer as Differential Diagnosis : 10/45,  22.2%
  • - Dept. of radiology, Inje University Ilsan Paik Hospital, Korea Bae Geun Oh
  • - Annemasse, Polyclinique De Savoie, France Gay-Depassier Philippe
  • - Nour El-Islam Radiology Center Egypt, Alexandria Elsayed Mousa
  • - Homs National Hospital, Homs - Syria Rami Abou Zalaf
  • - IRSA, La Rochelle, France Denis Chabassiere
  • - Pittwater Radiology, Australia Julie Arora
  • - Armidale Radiology, Australia Saurabh Khandelwal
  • - Max Hospital, New Delhi, India Vickrant Malhotra
  • - CHU Grenoble, France Bing Fabrice
  • - Dong-A University Hospital, Busan, Korea Seong Hoon Park
▶ Semi-Correct Answer : 13/45,  28.9%
  • - Hospital Sao Camilo-Sao Paulo, Brazil Bruno Barcelos
  • - Aditya Imaging centre, Sayajigunj, Vadodara, Gujarat, India Vivek Patel
  • - Breach Candy Hospital, Mumbai, India Rohan Kashyape
  • - Bollineni superspeciality hospital nellore india jignesh dubal
  • - Samsung medical center, Korea Young A Bae
  • - Osaka University, Japan Osamu Honda
  • - Trakya University School of Medicine, Turkey Mustafa Kemal Demir
  • - Yongsan Hospital, College of Medicine Chung-Ang University, Korea Jae Seung Seo
  • - Mackay Memorial Hospital, Taipei, Taiwan Chia-Fu Tsai
  • - Shiga University of Medical, Japan Norihisa Nitta
  • - EKH-Berlin, Germany Michael Weber
  • - Vital imaging centre, Mumbai, India Ganesh Agrawal
  • - Ultracare Coimbatore, India Debabrata Das
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