Weekly Chest CasesArchive of Old Cases

Case No : 665 Date 2010-07-26

  • Courtesy of Mi Jung Park, Kyung Nyeo Jeon / Gyeongsang National University Hospital, The College of Medicine
  • Age/Sex 48 / M
  • Chief ComplaintClinical Hx: Chronic cough, recurrent infection, Past Hx: Bronchial asthma, gout
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Allergic Bronchopulmonary Aspergillosis (ABPA)
Radiologic Findings
Figs 1. Chest PA shows multifocal homogeneous tubular opacities with finger-in-glove appearance in both lungs. The satellite small nodular opacities are associated.
Fig 2-4. HRCT scan shows multifocal homogeneous consolidation with centrilobular nodules and tree-in-bud in both lungs. The central bronchiectasis is seen in the RUL.
Brief Review
See the case 158.
References
Keywords
Airway, Infection, Fungal infection,

No. of Applicants : 116

▶ Correct Answer : 96/116,  82.8%
  • - NTUH , Taiwan Kuei-pin Chung
  • - SoonChunHyang univ. hospital , Korea (South) Kim Jae Hyun
  • - Catholic medical center , Korea (South) hyuna kim
  • - McGill University , Canada Ben Smith
  • - Hotel-Dieu Montreal , Canada nicolas gautier
  • - radiologist, aditya imaging centre , India vivek patel
  • - IPGMER , India kanchan mishra
  • - University of British Columbia , Canada Amr Ajlan
  • - HOSPITAL MOINHOS DE VENTO porto alegre , Brazil ana zanardo
  • - Osaka University , Japan Osamu Honda
  • - Assam Medical college , India samudra borah
  • - HOSPITAL SOTIRIA , Greece AIKATERINI DELAVERI
  • - second hospital xian jiaotong university , China li ming
  • - Goa Medical College , India Paresh Desai
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - KMC,Manipal , India satish maddukuri
  • - Univ. of Miami/Jackson Memorial , United States mantosh rattan
  • - Hangang sacred heart hospital , Korea (South) You Mie Han
  • - Kosin university Gospel hospital , Korea (South) Hee Kang
  • - institute of thoracic medicine , India siva raja
  • - CHU NANCY , France, Metropolitan GREGORY LESANNE
  • - kyungpook national university hospital , Korea (South) jiwon park
  • - InRad - HCFMUSP S Paulo , Brazil Natanael Ahn
  • - Lilavati Hospital , India Pralhad Prabhudesai
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - Yonsei University College of Medicine, Shinchon Severance hospital , Korea (South) Young Joo Suh
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - Seoul St. Mary , Korea (South) Mi Seon Kim
  • - Seoul Nationial University Bundang Hospital , Korea (South) Hee Seok Choi
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Chonnam university hospital , Korea (South) Minyoung Jung
  • - Konkuk university hospital , Korea (South) Jeong Geun Yi
  • - NIMS , India HARSHA KR
  • - KUMC ansan , Korea (South) kihwan kim
  • - Radiologie Brabois adultes , France ROPION helene
  • - chp st martin , France Mariotte benoit
  • - Kasturba Medical College , India Chandan Kakkar
  • - Hopital de Pau , France Mathieu Cannella
  • - University of Iowa, USA , United States Archana Laroia
  • - bmcri , India sanjeev choudri
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - ALHAYAH SCAN RADIOLOGY CENTER , Egypt Elsayed Mousa
  • - Fukuyama daiichi Hospital , Japan Mototsugu Saeki
  • - chonnam national university , Korea (South) Byung Hyun Baek
  • - Department of Radiology, Chonnam National University Hospital , Korea (South) Hyungjun Kim
  • - CSSS LAVAL , Canada olivier krief
  • - CNUH , Korea (South) Seoin Jeong
  • - EWHA WOMANS MOKDONG UNIVERSITY HOSPITAL , Korea (South) Sang Min Lee
  • - Chonnam university hospital , Korea (South) LEE HYUN
  • - Shinchon Severance Hospital , Korea (South) Ho-Joon Lee
  • - NDMVP Nashik , India Imran Jindani
  • - Song-do Hospital , Korea (South) Ji-young Yun
  • - Kwang Myung Sungae Hospital , Korea (South) Jiyong Rhee
  • - Retd. Prof Thoracic Surgery B.J.MEDIDCAL COLLEGE Punr India , India Bankim Amin
  • - Vitalife Clinics , Pune , India. , India Rahul Deshmukh
  • - kovai medical centre , India k bhaskar
  • - Saga University , Japan Ryoko Egashira
  • - royal melbourne hospital , Australia kimchi kings
  • - SMG-SNU boramae medical center , Korea (South) Kwang Nam Jin
  • - All India Institute of medical sciences , India Justin Moses
  • - SUT Hospital , India Hari Krishnan
  • - ROK air force aerospacemedical center , Korea (South) Daekeon Lim
  • - Onomichi municipal hospital , Japan Ryotaro Kishi
  • - TANTIA GENERAL OSPITAL , India gurpreet singh
  • - Doctors Hospital , Bahamas muneesh sharma
  • - Bundang CHA hospital , Korea (South) Jung Jin Young
  • - Bundang CHA hospital , Korea (South) Sojung Kim
  • - DrRP GMEDICAL COLLEGE TANDA , India DINESH SOOD
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - Chonnam National University Hwasoon Hospiral , Korea (South) You Ri Choi
  • - IMS, BHU,VARANASI , India Sriram Patwari
  • - NASA SCANS new delhi , India RAKESH BHATIA
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - Dong-A university hospital , Korea (South) Sang-yun LEE
  • - Hospital M de Deus , Brazil Thiago Bento da Silva
  • - CHU Notre-Dame Montreal , Canada Fabrice Bing
  • - Hando general hospital , Korea (South) Jee eun Lee
  • - Beaulieu clinic Geneva , Switzerland gilles GENIN
  • - IRSA Rochefort , France Viviane Pages
  • - institute of chest diseases , India nithya maliyam
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - All India Institute of Medical Sciences , India Ashish Gupta
  • - Severance Hospital , Korea (South) Kyung-eun Kim
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - CNUH , Korea (South) Hyedoo Jung
  • - PITTWATER RADIOLOGY , Australia Julie Arora
  • - PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
  • - UZ GASTHUISBERG , Belgium Johan COOLEN
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
  • - chonnam university hospital , Korea (South) shin hyun
▶ Correct Answer as Differential Diagnosis : 5/116,  4.3%
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - CHRU Lille , France guillaume lefebvre
  • - , Korea (South) Hun-cheol lim
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Toyama University Hospital, Laboratory of Pathology , Japan TOMONORI TANAKA
▶ Semi-Correct Answer : 2/116,  1.7%
  • - MANSORA CHEST HOSPITAL , Egypt AHMED FAYED
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OOKUBO
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