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Weekly Chest CasesArchive of Old Cases

Case No : 527 Date 2007-12-03

  • Courtesy of Hyun Jin Park, MD. / Kangnam St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
  • Age/Sex 48 / M
  • Chief ComplaintIncidental findings
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Paragonimiasis
Radiologic Findings
Chest PA shows a few nodular opacities at periphery of right middle lung zone, near the minor fissure. A focal nodular opacity is also seen in right hilar area.

CT scans with lung window setting show an irregular opacity with sharp border at subpleural region of posterior segment of right upper lobe. Some daughter nodules are visible around the mass. Two tubular opacities are seen in both upper lobe. Right one contains air filled tract, showing a tract. Left one directly contacts with the mediastinal pleura.
Brief Review
Please refer to
Case 11, Case 259, Case 295, Case 349, Case 409, Case 502,
References
Keywords
Lung, Infection, Parasitic infection,

No. of Applicants : 42

▶ Correct Answer : 3/42,  7.1%
  • - Shiga University of Medical, Japan Norihisa Nitta
  • - Yongsan Hospital, College of Medicine, Chung-Ang University, Korea Jae Seung Seo
  • - China Medical University Hospital, Taiwan Jun-Jun Yeh
▶ Correct Answer as Differential Diagnosis : 9/42,  21.4%
  • - E-Da hospital, Taiwan Yu-Feng Wei
  • - Seoul National University Hospital, Korea Hye Jin Yoo
  • - Armed Forces ChunCheon Hospital (AFCC), Korea Chae Hun Lim
  • - Hospital Sotiria, Athens, Greece Vasilios Tzilas
  • - Gimpo Woori Hospital, Korea Son Youl Lee
  • - Pittwater Radiology, Australia Julie Arora
  • - Armidale Radiology, Australia Saurabh Khandelwal
  • - Nassau, Bahamas Trupti Dabholkar
  • - Cardiacradiology, Aims, New Delhi, India Ashish Gupta
▶ Semi-Correct Answer : 12/42,  28.6%
  • - Registrar in Radiology, UHL NHS Trust, UK A. Donuru
  • - Dept. of radiology, Inje University Ilsan Paik Hospital, Korea Bae Geun Oh
  • - Osaka University, Japan Osamu Honda
  • - Ospedale "Santa Maria" - Terni, Italy Angelo Carloni
  • - Shinsegye Rad Clinic, Daegu, Korea Gi Beom Kim
  • - Mackay Memorial Hospital, Taipei, Taiwan Chia-Fu Tsai
  • - Hangang Sacred Heart Hospital, Korea Eil Seong Lee
  • - Homs National Hospital, Homs - Syria Rami Abou Zalaf
  • - IRSA, La Rochelle, France Denis Chabassiere
  • - University of Virginia, USA Rachita Khot
  • - Jackson Memorial Hospital, Miami, Florida, USA N.B.S. Mani
  • - Ultra Care Coimbatore, India Debabrata Das
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Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com

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