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Weekly Chest CasesArchive of Old Cases

Case No : 564 Date 2008-08-18

  • Courtesy of Kim Tae Hoon, MD, Kim Sang Jin, MD. / Yongdong Severance Hospital, Korea.
  • Age/Sex 39 / M
  • Chief Complaint1. Nasal obstruction and posterior nasal drip (1 year), 2. Fever / chill (two weeks)
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Peripheral T-cell lymphoma, unspecified
Radiologic Findings
Radiologic Findings: Chest radiograph shows a thin-walled cavity lesion (arrow) in left middle lung zone (Fig 1A). The lesion has thin wall with speculated margin on the CT image (Fig 1B). There are a few lymph nodes in the mediastinum (Fig 1C). On the follow-up CT images about 2 months later, the lesion is more enlarged in left lower lobe and infiltration is visualized at left hilum around the left pulmonary artery (Fig 2A and B). CT image through the carina shows perinodal and mediastinal infiltrations (Fig 2C).
Brief Review
Please refer to
Case 287, Case 426,
References
Keywords
Lung, Mediastinum, Lymphproliferative disorder, Lymphoma,

No. of Applicants : 76

▶ Correct Answer : 2/76,  2.6%
  • - SMG-SNU Boramae Hospital , Korea (South) Daehee Han
  • - Armed Forces Chun-Cheon Hospital , Korea (South) ChaeHun Lim
▶ Correct Answer as Differential Diagnosis : 17/76,  22.4%
  • - Shiga University of Medical Science , Japan Norihisa Nitta
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - China Medical University,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - National Taiwan University Hospital , Taiwan Nin Chieh Hsu
  • - HOSPITAL SOTIRIA , Greece AIKATERINI DELAVERI
  • - Soonchunhyang university hospital bucheon , Korea (South) Hyelin Kim
  • - IRSA LA ROCHELLE FRANCE , France jean-luc BIGOT
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - Seoul National University Hospital , Korea (South) Sang Min Lee
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - Vitalife Clinics , Pune , India. , India Rahul Deshmukh
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - chp st martin , France Mariotte benoit
  • - PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
  • - PITTWATER RADIOLOGY , Australia Julie Arora
  • - Saga University , Japan Ryoko Egashira
▶ Semi-Correct Answer : 47/76,  61.8%
  • - kims,narkatpally , India k bhaskar
  • - McGill University Health Centre , Canada Amr Ajlan
  • - partner, aditya imaging centre , India vivek patel
  • - mediciti hospitals , India paramjyothi gongati
  • - The Armed Forces HamPyeong Hospital , Korea (South) Bae Geun Oh
  • - Chungnam National University hospital , Korea (South) Kyoung Jin Oh
  • - Shinchon Severance Hospital , Korea (South) Ho-Joon Lee
  • - Osaka University , Japan Osamu Honda
  • - Father Muller Medical College , Mangalore , India nabil mahmood
  • - jaslok hospital mumbai , India jainendra jain
  • - CHRU Lille , France Benjamin DAMAREY
  • - Al-Hada Armed Forced Hospital , Saudi Arabia Ahmed FathiEid
  • - soonchunhyang university hospital, Bucheon , Korea (South) Park jisang
  • - National Taiwan University Hospital , Taiwan Chin-Chung Shu
  • - Samsung Medical Center , Korea (South) Dae Kun Oh
  • - Cheongshim international medical center , Korea (South) Yang Hae Jum
  • - Regional Imaging Ltd. - Riverina, NSW , Australia Rashid Hashmi
  • - Changhua Christian Hospital , Taiwan Chia-Fu Tsai
  • - MEDINOVA DIAGNOSTICS , India Harsha NS
  • - OSWAL CANCER HOSP. , India vishal garg
  • - KMC,Manipal , India satish maddukuri
  • - CHU Grenoble , France Fabrice Bing
  • - OSWAL CANCER HOSPITAL , India LOVKESH MITTAL
  • - Trakya Univercity School of Medicine , Turkey Armagan Sarac
  • - Private Clinic , Bahamas Trupti Dabholkar
  • - hospital Sao Paulo , Brazil israel missrie
  • - Gimpo Woori Hospital , Korea (South) Son Youl Lee
  • - IRIS, CARE HOSPITAL , India dipal shah
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - sunder lal jain hospital , India sanjeev vachher
  • - arora neuro centre,ludhiana , India devendra kumar
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - Hanmaeum Hospital , Korea (South) Kwon Kim
  • - Central Queensland Medical Imaging , Australia Sandeep Joshi
  • - MD PG Resident, PIMS,LONI, MAHARASHTRA, INDIA , India Sushant Bhadane
  • - Pt. Fosdick Med Ctr , United States Julee Takeshita
  • - radiology department ANNECY , France gilles GENIN
  • - Gyeongsang National University hospital , Korea (South) Ji Kim
  • - Trakya University School of Medicine , Turkey Umut Ugur
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - McGill University Health Center , Canada Alexandre Semionov
  • - All India Institute of Medical Sciences , India puneet kochar
  • - All India Institute of Medical Sciences , India Ashish Gupta
  • - jiangsu province hospital , China yuan doctor
  • - All India Institute of medical sciences , India Justin Moses
  • - Dongguk University International Hospital , Korea (South) Hee Seok Choi
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