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Weekly Chest CasesArchive of Old Cases

Case No : 541 Date 2008-03-10

  • Courtesy of Myung Hee Chung, MD. / Holy Family Hospital, College of Medicine, The Catholic University of Korea, Korea.
  • Age/Sex 41 / F
  • Chief ComplaintJoint pain for several weeks
  • Figure 1
  • Figure 2
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Sarcoidosis
Radiologic Findings
Chest PA shows incidental mass measuring about 2.8 cm in diameter in the right infrahilar area. Its margin is sharp and smooth. No calcification seen on preenhanced CT scan. The mass is homogenous and well enhanced. The mass density measures about 38 HU on preenhanced CT scan. Dynamic CT scan shows about 42 HU net enhancement with peak enhancement at 1 minute from the study start. Right paratracheal and hilar lymph nodes are also slightly enlarged. No pulmonary parenchyma and interstitial involvement can be seen. Thoracoscopic excision biopsy shows chronic granulomatous inflammation, being compatible with sarcoidosis.
Brief Review
References
Please refer to
Case 456
Keywords
Mediastinum, Lung, Non-infectious inflammation, Sarcoidosis,

No. of Applicants : 65

▶ Correct Answer : 25/65,  38.5%
  • - Shiga University of Medical Science , Japan Norihisa Nitta
  • - Kasturba Medical College Manipal , India Paresh Desai
  • - All India Institute of medical sciences , India Justin Moses
  • - National Taiwan University Hospital , Taiwan Chi Chen
  • - hospital Sao Paulo , Brazil israel missrie
  • - Clinic 1 , Russian Federation Lepikhina Darya
  • - seoul national university hospital , Korea (South) Ijin Joo
  • - Yonsei university Shinchon Severance hospital , Korea (South) Na-young Shin
  • - Soonchunhyang university Bucheon hospital , Korea (South) Minhee Lee
  • - christie hospital , United Kingdom rohit kochhar
  • - National Taiwan University Hospital , Taiwan Nin Chieh Hsu
  • - Gimpo Woori Hospital , Korea (South) Son Youl Lee
  • - National Taiwan University Hospital , Taiwan Chin-Chung Shu
  • - Apollo Hospital , India Sandip Shah
  • - Ansan Hando hospital Lee Hyun Seok
  • - EKH-Berlin , Germany Michael Weber
  • - Depatment of Radiology, Yongsan Hospital, College of Medicine, Chgung-Ang University , Korea (South) Jae Seung Seo
  • - Chung-ang univ. Dept. radiology , Korea (South) JINKYOUNG KIM
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - MEDINOVA DIAGNOSTICS , India Harsha NS
  • - Jackson Memorial Hospital , United States Naganathan Mani
  • - CHU de Poitiers , France Paul ARDILOUZE
  • - oswal cancer hospital , India lovkesh mittal
  • - Soonchunhyang University Cheonan Hospital , Korea (South) Park Sang Hyun
  • - UVA , United States Rachita Khot
▶ Correct Answer as Differential Diagnosis : 24/65,  36.9%
  • - MD PG Resident, PIMS,LONI, MAHARASHTRA, INDIA , India Sushant Bhadane
  • - HOPITAL VIETDUC , Viet Nam VU HUNG
  • - Kashan University of Medical Sciences, kashan, Iran , Iran Ebrahim Razi
  • - Shinsegye Rad Clinic, Daegu, Korea , Korea (South) Gi Kim
  • - Almana.G.Hospital , Saudi Arabia Jamal Abazid
  • - China Medical University,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - Regional Imaging Ltd. - Riverina , Australia Rashid Hashmi
  • - E-DA Hospital / I-Shou University , Taiwan Yu-Feng Wei
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - Saga University, Japan , Japan Ryoko Egashira
  • - Seoul National University Hospital , Korea (South) Sang Min Lee
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - radiology department Annecy , France gilles GENIN
  • - rmh , Saudi Arabia majed almotairi
  • - Homs National Hospital , Syria Rami Abou zalaf
  • - vital imaging centre , India ganesh agrawal
  • - Mackay Memorial Hospital, Taipei, Taiwan , Taiwan Chia-Fu Tsai
  • - Dongguk University International Hospital , Korea (South) Hee Seok Choi
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - IRSA , France jean -luc BIGOT
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - Vitalife Clinics , Pune , India. , India rahul deshmukh
  • - Armed Forces Chun-Cheon Hospital , Korea (South) Chae-Hun Lim
▶ Semi-Correct Answer : 5/65,  7.7%
  • - Trakya Univercity School of Medicine , Turkey armagan sarac
  • - Toronto General Hospital, University of Toronto , Canada Yon Mi Sung
  • - IRSA , France denis chabassie
  • - PITTWATER RADIOLOGY , Australia Julie Arora
  • - PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
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Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

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