대한흉부영상의학회 Korean Society of Thoracic Radiology

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대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesArchive of Old Cases

Case No : 382 Date 2005-02-19

  • Courtesy of Yo Won Choi, M.D. / Hanyang University Hospital, Seoul, Korea
  • Age/Sex 62 / F
  • Chief ComplaintCough for two weeks in a patient with uncontrolled DM
  • Figure 1
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  • Figure 6

Diagnosis With Brief Discussion

Diagnosis
Pulmonary cryptococcosis
Radiologic Findings
An initial chest radiograph shows multiple patch increased opacities in the right lower lung zone. Chest CT obtained 5 days later show multifocal mass-like opacities in the right lower lobe which was surrounded by ground glass opacities and have internal air bronchogram. A chest radiograph obtained 22 days after an initial radiograph shows persistent consolidations in the right lower lung.
Brief Review
Refer to cases 231 and 282

Gun biopsy of the right lower lung lesion revealed cryptococcosis. Differential diagnosis of these subacute consolidation should include fungal infection, multifocal organizing pneumonia, primary and metastatic adenocarcinoma, and lymphoma.
References
Keywords
Lung, Infection, Fungal infection,

No. of Applicants : 32

▶ Correct Answer : 9/32,  28.1%
  • - Annecy Hospital, France Gilles Genin
  • - Busan Veterans Hospital, Korea Suhku Huh
  • - Hangang SacredHeart Hospital, Korea Eil Seong Lee
  • - Homs National Hospital, Homs, Syria Rami Abou Zalaf
  • - Incheon Sarang Hospital, Korea Jung Hee Kim
  • - Jinju Jeil Hospital, Korea Hyung-Gon Lee
  • - Seoul National University Hospital, Korea Seung Hong Choi
  • - Seoul National University Hospital, Korea Dae Sik Kim
  • - Social Security Hospital, Ankara, Turkey Meric Tuzun
▶ Semi-Correct Answer : 7/32,  21.9%
  • - Apollo Firstmed Hospitals, Chennai,India RG Gopinath
  • - ASL BOLOGNA Maggiore Hospital, Bologna, Italy Marcellino Burzi
  • - CIM Saint Dizier, France JC Leclerc
  • - Max Hospital, Delhi, India Vickrant Malhotra
  • - Monaldi Hospital, Naples, Italy Gaetano Rea
  • - Ping Tung Christian Hospital,Taiwan Jun-Jun Yeh
  • - Sanggye Paik Hospital, Inje University, Korea Mi Jin Kang
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Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com

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