Weekly Chest CasesArchive of Old Cases

Case No : 525 Date 2007-11-19

  • Courtesy of Jung Im Jung, MD. / St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
  • Age/Sex 54 / F
  • Chief ComplaintC/C cough for 30 days. Mild dyspnea
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Pulmonary alveolar proteinosis
Radiologic Findings
Chest radiography shows bilateral alveolar consolidation or ground glass attenuation. HRCT show bilateral ground glass opacity with superimposed intra- and interlobular septal thickening, showing typical “crazy-paving” appearance.

Bronchoalveolar lavage was done. BAL fluid was grossly cloudy. Fluid material was strongly PAS-positive, consistent with pulmonary alveolar proteinosis.
Brief Review
Please refer to
Case 198, Case 275, Case 404, Case 505,
References
Keywords
Lung, Interstitium, Metabolic and storage lung disesae,

No. of Applicants : 50

▶ Correct Answer : 46/50,  92.0%
  • - Registrar in Radiology, UHL NHS Trust, UK A. Donuru
  • - Dept. of radiology, Inje University Ilsan Paik Hospital, Korea Bae Geun Oh
  • - Shiga University of Medical, Japan Norihisa Nitta
  • - Dept. of Radiodiagnosis and Imaging, PGIMER, Chandigarh, India Ram Prakash Galwa
  • - KAUMS, Kashan, Iran Ebrahim Razi
  • - Maimonides Medical Center; Brooklyn, N.Y., U.S.A. Naomi Twersky
  • - India Rajalingam Bavan
  • - Ondokuz Mayis University, Samsun Turkey Cetin Celenk
  • - Hospital Sotiria Athens Greece Delaveri kaith
  • - Vitalife Clinic, Pune, India Rahul Deshmukh
  • - Shinsegye Rad Clinic, Daegu, Korea Gi Beom Kim
  • - D.Y. Patil Medical College, Pune, India Anubhav Khandelwal
  • - Macon Hospital, France Sebastien LARIVE
  • - Osaka University, Japan Osamu Honda
  • - State Health Centre, Hungary Judit Kalman
  • - Inha university hospital, Korea Yoon mi Lee
  • - IRSA La Rochelle, France Jean-Luc BIGOT
  • - Bollineni Hospital, Nellore, AP. India CH. Madhusudhan
  • - National Taiwan University Hospital, Taipei, Taiwan Chin Chung Shu
  • - Lilavati Hospital & Rsearch Centre, Mumbai, India Mahavir Swami
  • - University of Virginia, USA Rachita Khot
  • - Samcheonpo jeil hospital, Korea Kang Su Jin
  • - Gimpo Woori Hospital, Korea Son Youl Lee
  • - E-Da hospital, Taiwan Yu-Feng Wei
  • - Regional Imaging Riverina, Australia Rashid Hashmi
  • - Hangang Sacred Heart Hospital, Korea Eil Seong Lee
  • - Armed Forces ChunCheon Hospital (AFCC), Korea Chae Hun Lim
  • - Hospital Sotiria, Athens, Greece Vasilios Tzilas
  • - Dept. of radiology, Assam medicalcollege, Assam, India Karunakaran M
  • - VIVUS SMRC Heart centre, Goa, India Paresh Desai
  • - CHU, Grenoble, France Anne-Line MORONI
  • - Homs National Hospital, Homs - Syria Rami Abou Zalaf
  • - Annecy Hospital, France Olivier Segall
  • - Mackay Memorial Hospital, Taipei, Taiwan Chia-Fu Tsai
  • - Vital imaging centre, Mumbai, India Ganesh Agrawal
  • - Annecy hospital, France Gilles Genin
  • - Annemasse, Polyclinique De Savoie, France Gay-Depassier Philippe
  • - IRSA, La Rochelle, France Denis Chabassiere
  • - Yongsan Hospital, College of Medicine, Chung-Ang University, Korea Jae Seung Seo
  • - Jackson Memorial Hospital, Florida, USA N.B.S.Mani
  • - Nassau, Bahamas Trupti Dabholkar
  • - Nassau, Bahamas C. V. Subbarao
  • - Max Hospital, New Delhi, India Vickrant Malhotra
  • - Soonchunhyang University Cheonan Hospital, Korea Sang Hyun Park
  • - CHU Grenoble, France Bing Fabrice
  • - St. Mary's Hopspital, Korea , Korea (South) Jung Im Jung
▶ Correct Answer as Differential Diagnosis : 2/50,  4.0%
  • - China Medical University Hospital, Taiwan Jun-Jun Yeh
  • - Trakya University Edirne Turkey Armagan Sarac
▶ Semi-Correct Answer : 2/50,  4.0%
  • - Bollineni superspeciality hospital nellore, India jignesh dubal
  • - EKH-Berlin, Germany Michael Weber
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