대한흉부영상의학회 Korean Society of Thoracic Radiology GuerBet

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Weekly Chest CasesArchive of Old Cases

Case No : 1142 Date 2019-09-17

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  • Courtesy of Eun Young Kim, Hee Young Lee / Gachon University Gil Medical Center
  • Age/Sex 77 / M
  • Chief ComplaintDyspnea (2 weeks after VATS RLLobectomy for NSCLC)
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Bronchopleural fistula
Radiologic Findings
Fig 1. Chest PA shows pneumothorax in right hemithorax
Fig 2. Postcontrast CT shows large amount of hydropneumothorax in right hemithorax and mild passive atelectasis in the adjacent right lung
Fig 3. Precontrast chest CT shows bronchopleural fistula in right hemithorax
Brief Review

Defined as communication between the pleural space and the bronchial tree.

Causes
References
1. EJ Chae, JB Seo, SY Kim, et el. Radiographic and CT Findings of Thoracic Complications after Pneumonectomy. RadioGraphics 2006; 26:1449
Keywords
bronchus, pleura, fstula,

No. of Applicants : 61

▶ Correct Answer : 49/61,  80.3%
  • - The University of Kyoto Hospital , Japan TOMOAKI OTANI
  • - ZIGONG TCM HOSPITAL OF CHINA , China Cao Cunyou
  • - Kinki University Faculty of Medicine, , Japan MITSURU MATSUKI
  • - Showa University Fujigaoka Hospital , Japan KYOKO NAGAI
  • - McGill , Canada ADRIANA SOFIA MORALES
  • - Mayo Clinic , United States AKITOSHI INOUE
  • - King Abdulaziz University Hospital , Saudi Arabia Amr M. Ajlan
  • - , Korea (South) HYEYOUNG CHOI
  • - McGill University Health Center , Canada Alexandre Semionov
  • - NIMS, HYDERABAD , India BHASKAR K
  • - IRSA LA ROCHEELLE , France JEAN LUC BIGOT
  • - Chonnam National University Hospital , Korea (South) MOON GYEONG IL
  • - Other , Korea (South) INSOO JANG
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - Other , Korea (South) SEONGSU KANG
  • - St. Lukes International Hospital , Japan DAISUKE YAMADA
  • - Seoul National University Hospital , Korea (South) Ju Gang Nam
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - The Jikei university , Japan TAKU GOMI
  • - Fujieda Municipal General Hospital , Japan HAYATO NOZAWA
  • - National Center for Global Health and Medicine , Japan MASATOSHI HOTTA
  • - , Korea (South) HYEWON CHOI
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - Narayana Multispeciality Hospital Jaipur Rajasthan , India JAINENDRA JAIN
  • - Other , Korea (South) JUWON KIM
  • - Gifu University Hospital , Japan Yo Kaneko
  • - The University of Tokyo Hospital , Japan RYO KUROKAWA
  • - Chonbuk National University Hospital , Korea (South) YOUNGKWANG LEE
  • - CLINIQUE STE CLOTILDE , Reunion PATRICK MASCAREL
  • - , Japan NAOMI YUASA
  • - Ajou University Hospital , Korea (South) HYERIN KIM
  • - , Korea (South) JANG SEONG WON
  • - Korea University Anam Hospital , Korea (South) KYU-CHONG LEE
  • - Kizawa Memorial Hospital , Japan Shoji Okuda
  • - University of Tsukuba Hospital , Japan SODAI HOSHIAI
  • - Chonbuk National University Hospital , Korea (South) SOL KI KIM
  • - , Japan SOTA MASUOKA
  • - Chonbuk National University Hospital , Korea (South) MINJEE KIM
  • - Toranomon Hospital , Japan KAORU SUMIDA
  • - , India SUSHMITHA JAKKA
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
  • - National Center for Global Health and Medicine , Japan HIROSHI TAKUMIDA
  • - Private sector , Greece VASILIOS TZILAS
  • - , Japan YUMI MAEHARA
  • - Hamamatsu University Hospital , Japan YUKI HAYASHI
  • - Diagnose.me (BV) / Royal Perth Hospital , Australia YURANGA WEERAKKODY
  • - Chungnam National University Hospital , Korea (South) JONG EUN LEE
  • - the first affiliatited hospital of nanjing medical univercity , China HAI XU
  • - Jiangsu province hospital , China WANGJIAN ZHA
▶ Correct Answer as Differential Diagnosis : 1/61,  1.6%
  • - Centre Hospitalier Regional de Lanaudiere , Canada MATTHIEU STORME
▶ Semi-Correct Answer : 6/61,  9.8%
  • - Ishikawa Matto Central Hospital , Japan MANABU AKIMOTO
  • - , Korea (South) JIN YOUNG LEE
  • - Chonbuk National University Hospital , Korea (South) JUNGHWAN KIM
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey MERIC TUZUN
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - Pusan National University Yangsan Hospital , Korea (South) JI HWAN KIM
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Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

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