대한흉부영상의학회 Korean Society of Thoracic Radiology

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Weekly Chest CasesArchive of Old Cases

Case No : 687 Date 2010-12-27

  • Courtesy of Bo-Ram Park, M.D., Dong Wook Sung, M.D. / Kyung Hee University Hospital
  • Age/Sex 31 / F
  • Chief ComplaintIncidental chest X-ray abnormality
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5
  • Figure 6
  • Figure 7
  • Figure 8

Diagnosis With Brief Discussion

Diagnosis
Malignant peripheral nerve sheath tumor, low grade
Radiologic Findings
Chest radiograph showed soft tissue mass in right paraspinal area. Contrast-enhanced CT scans show well-defined paraspinal mass with areas of heterogenous enhancement. It contains multiple cystic portions. It extends to epidural space and left paraspinal area and causes destruction and sclerotic change of adjacent T-spine.
MR images show intermediate signal intensity of the mass on T1-weighted image, heterogeneous enhancement after contrast administration, and heterogenous signal intensity on T2-weighted image. MR images also shows destruction of adjacent T-spine.
Brief Review
Please refer to Case 185 and 393.
References
Keywords
Mediastinum, Malignant tumor,

No. of Applicants : 88

▶ Correct Answer : 27/88,  30.7%
  • - University of British Columbia , Canada Amr Ajlan
  • - chonnam university hospital , Korea (South) shin hyo hyun
  • - All India Institute of Medical Sciences , India Ashish Gupta
  • - NDMVP Nashik , India Imran Jindani
  • - Institute of Chest Diseases Calicut , India Dr.Divya Nair
  • - Onomichi municipal hospital , Japan Ryotaro Kishi
  • - Catholic medical center , Korea (South) hyuna kim
  • - Chonnam university hospital , Korea (South) LEE JI HYUN
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - Hopital Louis Pradel , France Clent Proust
  • - Auckland hospital , New Zealand (Aotearoa) Yuranga Weerakkody
  • - Virgin Mary Hospital Burgas , Bulgaria VLADISLAV RUSINOV
  • - McGill University Health Center , Canada Alexandre Semionov
  • - aarthi scans , India abirami mahadevan
  • - Chonnam national university hospital , Korea (South) SeungJin Lee
  • - Retd. Prof Thoracic Surgery B.J.MEDIDCAL COLLEGE Punr India;Visitng Prof of Thoracic Surgery KLE University Belgaum , India Bankim Amin
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - McGill University , Canada Ben Smith
  • - Chonnam National University Hospital , Korea (South) Jung Hyun Kim
  • - CNUH , Korea (South) Hyedoo Jung
  • - Chonnam national university hospital , Korea (South) Jang-hyeon Song
  • - CNUH , Korea (South) Seoin Jeong
  • - Chonnam national univ. hospital , Korea (South) Choi Seul Gi
  • - Department of Radiology, Chonnam National University Hospital , Korea (South) Hyungjun Kim
  • - chonnam national university , Korea (South) Byung Hyun Baek
  • - Chonnam national university hospital , Korea (South) Hyeong ook Kim
  • - Iwate medical university , Japan Akio Akahane
▶ Correct Answer as Differential Diagnosis : 38/88,  43.2%
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - Osaka University , Japan Osamu Honda
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Inha University Hospital , Korea (South) Ju Won Lee
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - Toyama University Hospital, Laboratory of Pathology , Japan TOMONORI TANAKA
  • - Chonnam university hospital , Korea (South) Minyoung Jung
  • - Youngdong Hospital , Korea (South) Sang Min Lee
  • - Kangnam Sacred Heart Hospital , Korea (South) Jaewon Kim
  • - radiologist, aditya imaging centre , India vivek patel
  • - Radnet Teleradiology , Turkey Murat Ulusoy
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun JunYeh
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Montreal , Canada D J
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - Sunchun university hospital, Bucheon , Korea (South) So Young Bae
  • - CHRU lille , France manuel toledano
  • - tanbul , Turkey Armagan Sarac
  • - Songtan public health center, Goduk substation , Korea (South) Jaewang Shin
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - Onomichi municipal hospital , Japan Junya Itakura
  • - Fukuyama daiichi Hospital , Japan Mototsugu Saeki
  • - Dongnam Institute of Radiological and Medical Sciences , Korea (South) Dae Wook Yeh
  • - Ishikawa Matto Central Hospital , Japan Manabu Akimoto
  • - Shree Diagnostics , India amol jagdale
  • - University of Montreal , Canada Abraham Bohadana
  • - SNUH , Korea (South) Eun LEE
  • - Bundang CHA hospital , Korea (South) Jung Jin Young
  • - IRSA , France jean-luc BIGOT
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - All India Institute of medical sciences , India Justin Moses
  • - Zaid Alsheriti hospital- Alsweida , Syria jehad alakabani
  • - medical , India anup gupta
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - Saint Malo , France jean-baptiste Noel
  • - chest hospital , India k bhaskar
  • - Yonsei University College of Medicine, Shinchon Severance hospital , Korea (South) Young Joo Suh
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