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Weekly Chest CasesArchive of Old Cases

Case No : 566 Date 2008-09-01

  • Courtesy of Jung Im Jung, MD. / St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
  • Age/Sex 49 / F
  • Chief ComplaintYellowish sputum
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Nontuberculous Mycobacterial (NTMB) Pulmonary Infection (M. abscessus)
Radiologic Findings
Chest radiograph shows nodular and patchy infiltrations in both lungs. Bronchial dilatations are also noted in the mediastinal aspects of both lower lung fields.

HRCT shows bronchiectasis and bronchiolitis, predominantly in right middle lobe and lingular segment of left upper lobe. Centrilobular nodules, branching linear structures and patchy consolidations are associated in other lobes.

AFB was demonstrated on sputum and M. abscessus was isolated in culture.
Brief Review
Please refer to
Case 88, Case 243, Case 336,
KSTR Imaging Conference 2001 Spring  Case 5 ,
KSTR Imaging Conference 2005 Spring  Case 6,
References
Keywords
Lung, Airway, Infection, Bacterial infection, NTM,

No. of Applicants : 89

▶ Correct Answer : 47/89,  52.8%
  • - Chungnam National University hospital , Korea (South) Kyoung Jin Oh
  • - Shiga University of Medical Science , Japan Norihisa Nitta
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - KMC,Manipal , India satish maddukuri
  • - The Armed Forces HamPyeong Hospital , Korea (South) Bae Geun Oh
  • - Kasturba Medical College Manipal , India Paresh Desai
  • - Father Muller Medical College , Mangalore , India nabil mahmood
  • - hospital Sao Paulo , Brazil israel missrie
  • - Gimpo Woori Hospital , Korea (South) Son Youl Lee
  • - Osaka University , Japan Osamu Honda
  • - McGill University Health Centre , Canada Amr Ajlan
  • - Shinsegye Rad Clinic, Daegu , Korea (South) Gi Beom Kim
  • - Seoul National University Hospital , Korea (South) Sang Min Lee
  • - soonchunhyang university hospital, Bucheon , Korea (South) Park jisang
  • - UCLA , United States Fereidoun Abtin
  • - SMG-SNU Boramae Hospital , Korea (South) Daehee Han
  • - Konkuk university hospital , Korea (South) Jeong Geun Yi
  • - HOSPITAL SOTIRIA , Greece AIKATERINI DELAVERI
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - Samsung Medical Center , Korea (South) Dae Kun Oh
  • - Soonchunhyang university hospital, Bucheon , Korea (South) Hyelin Kim
  • - Seoul National University Hospital , Korea (South) Kwang Nam Jin
  • - EKH-Berlin , Germany Michael Weber
  • - Soonchunhyang university Bucheon hospital , Korea (South) Minhee Lee
  • - Kasturba Medical Collage , India NAVEEN KULKARNI
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - Yonsei University college of medicine Severance hospital , Korea (South) Hua Sun Kim
  • - Changhua Christian Hospital , Taiwan Chia-Fu Tsai
  • - Lilavati Hospital & Research Centre , India Mahavir Swami
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - National Taiwan University Hospital , Taiwan Chin-Chung Shu
  • - IRSA LA ROCHELLE FRANCE , France jean-luc BIGOT
  • - , Korea (South) Hee Jung Kim
  • - Regional Imaging Ltd. - Riverina, NSW, Australia , Australia Rashid Hashmi
  • - yashodha hospital , India pravin mahadevappa
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Kwang Myung Sungae Hospital , Korea (South) Jiyong Rhee
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Saga University , Japan Ryoko Egashira
  • - UVA , United States Rachita Khot
  • - Dongguk University International Hospital , Korea (South) Hee Seok Choi
  • - All India Institute of medical sciences , India Justin Moses
  • - Trakya University School of Medicine , Turkey Umut Ugur
  • - All India Institute of Medical Sciences , India puneet kochar
  • - Soonchunhyang University Cheonan Hospital , Korea (South) Park Sang Hyun
  • - Armed Forces Chun-Cheon Hospital , Korea (South) ChaeHun Lim
▶ Correct Answer as Differential Diagnosis : 11/89,  12.4%
  • - China Medical University,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - CHRU lille , France manuel toledano
  • - Cheongshim international medical center , Korea (South) Hae Jum Yang
  • - Hanmaeum Hospital , Korea (South) Kwon Kim
  • - E-DA Hospital / I-Shou University , Taiwan Yu-Feng Wei
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
  • - radiology department ANNECY , France gilles GENIN
  • - CHU Grenoble , France Fabrice Bing
  • - PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
  • - PITTWATER RADIOLOGY , Australia Julie Arora
  • - All India Institute of Medical Sciences , India Ashish Gupta
▶ Semi-Correct Answer : 21/89,  23.6%
  • - mediciti hospitals , India paramjyothi gongati
  • - arora neuro centre,ludhiana , India devendra kumar
  • - Marien Hospital, Hamm , Germany Davis Chiramel
  • - NONE , India REKHA GUPTA
  • - Al-Hada Armed Forced Hospital , Saudi Arabia Ahmed Eid
  • - Mackay Memorial Hospital , Taiwan Shen ShengYeh
  • - Retd. Prof Thoracic Surgery B.J.MEDIDCAL COLLEGE Punr India , India Bankim Amin
  • - Central Queensland Medical Imaging , Australia Sandeep Joshi
  • - nirman hitech diagnostic centre , India minal seth
  • - BOLLINENI HOSPITAL NELLORE , India jignesh dubal
  • - Trakya Univercity School of Medicine , Turkey Armagan Sarac
  • - apollo hospitals , India harish bhambore
  • - Kashan University of Medical Sciences, kashan , Iran Ebrahim Razi
  • - MD PG Resident, PIMS,LONI, MAHARASHTRA, INDIA , India Sushant Bhadane
  • - SRI RAVI NURSING HOME,,WARANGAL , India Vodithala Vodithala
  • - ROHINI Scans (P) Ltd. , India UMAPATHI MAHESH
  • - Vitalife Clinics , Pune , India. , India Rahul Deshmukh
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - chp st martin , France Mariotte benoit
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
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