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대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesImaging Conference Cases

Case No : 7

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  • Age/Sex 41 / M
  • Case Title Blood tinged sputum (D; 2 months)
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Courtesy
Chonnam National University Hospital, Gwangju, Korea
Imaging Findings
Solitary pulmonary nodule (<2cm) - lobulated contour, inhomogeneous & significant CE

No satellite nodule

No mediastinal LAP

No pleural effusion
Discussion
Epidemiology

Southeast Asia

Korea, Japan, China,

Philippines, Taiwan

Infected cause

raw or undercooked crabs or crayfish

Symptoms - cough, dyspnea, chest pain

Lab findings

eosinophilia(>500 cells/mm3)

pleural fluid

eosinophilia, low sugar level, low pH, high protein and LDH levels

sputum exam, ELISA

Radiology

Normal (20%)

Pulmonary lesions - parenchymal opacity, cystic lesion; thin walled ring shadow, crescent-shaped or oval opacity, single or multiple nodule, linear opacity (burrow tract),
Pleural lesions, effusion, thickening, hydropneumothorax
Reference
Epidemiology

Southeast Asia

Korea, Japan, China,

Philippines, Taiwan

Infected cause

raw or undercooked crabs or crayfish

Symptoms - cough, dyspnea, chest pain

Lab findings

eosinophilia(>500 cells/mm3)

pleural fluid

eosinophilia, low sugar level, low pH, high protein and LDH levels

sputum exam, ELISA

Radiology

Normal (20%)

Pulmonary lesions - parenchymal opacity, cystic lesion; thin walled ring shadow, crescent-shaped or oval opacity, single or multiple nodule, linear opacity (burrow tract),
Pleural lesions, effusion, thickening, hydropneumothorax
Keywords
Lung, Infection, Parasitic infection,
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