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Weekly Chest CasesArchive of Old Cases

Case No : 570 Date 2008-09-29

  • Courtesy of Jung Im Jung, MD. / St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
  • Age/Sex 46 / F
  • Chief ComplaintFollow up during anti-tuberculous therapy
  • Figure 1

Diagnosis With Brief Discussion

Diagnosis
Diffuse Osteosclerosis due to Myelofibrosis
Radiologic Findings
Chest radiography shows diffusely increased bone density of the bony thorax.
Linear increased opacities are noted in the RUL, considered to be known tuberculous lesions.
Differential diagnoses of diffuse osteosclerosis include osteoblastic metastasis, myelofibrosis, mastocytosis, sickle cell anemia, pyknodystosis, Paget’s disease, renal osteodystophy, osteopetrosis, heavy metal poisoning, and others (dysplasias, hypothyroidism).
The patient was diagnosed and currently under treatment for myelofibrosis.
Brief Review
References
Keywords
Chest wall,

No. of Applicants : 82

▶ Correct Answer : 44/82,  53.7%
  • - Shiga University of Medical Science , Japan Norihisa Nitta
  • - Al-Hada Armed Forced Hospital , Saudi Arabia Ahmed FathiEid
  • - CHRU lille , France manuel toledano
  • - The Armed Forces HamPyeong Hospital , Korea (South) Bae Geun Oh
  • - Univ. of Miami/Jackson Memorial , United States mantosh rattan
  • - Lilavati Hospital & Research Centre , India Mahavir Swami
  • - Hanmaeum Hospital , Korea (South) Kwon Kim
  • - Saga University , Japan Ryoko Egashira
  • - OSWAL CANCER HOSP. , India VISHAL GARG
  • - St Lukes Memorial , United States John Ellis
  • - BHMRC, NEW DELHI , India NIDHI GOYAL
  • - IRIS, CARE HOSPITAL , India dipal shah
  • - Chungnam National University hospital , Korea (South) Kyoung Jin Oh
  • - K.J.SOMAIYA HOSPITAL AND RESEARCH CENTRE. , India vipul jethwa
  • - jaslok hospital mumbai , India jainendra jain
  • - chp st martin , France Mariotte benoit
  • - PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
  • - PITTWATER RADIOLOGY , Australia Julie Arora
  • - KMC,Manipal , India satish maddukuri
  • - National Taiwan University Hospital , Taiwan Chin-Chung Shu
  • - Samsung Medical Center , Korea (South) Eun Kim
  • - EKH-Berlin , Germany Michael Weber
  • - SNUH , Korea (South) Mi-Jin Kang
  • - Seoul National University Hospital , Korea (South) Hyun Ju Lee
  • - yashodha hospital , India pravin mahadevappa
  • - Seoul National University Hospital , Korea (South) Kwang Nam Jin
  • - Shinsegye Rad Clinic, Daegu , Korea (South) Gi Gi Kim
  • - Samsung Medical Center , Korea (South) Dae Kun Oh
  • - Regional Imaging Ltd. - Riverina, NSW, Australia , Australia Rashid Hashmi
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - radiology department ANNECY , France gilles GENIN
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - Private Clinic , Bahamas Trupti Dabholkar
  • - MD PG Resident, PIMS,LONI, MAHARASHTRA, INDIA , India Sushant Bhadane
  • - Gimpo Woori Hospital , Korea (South) Son Youl Lee
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - IRSA LA ROCHELLE FRANCE , France jean-luc BIGOT
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - All India Institute of medical sciences , India Justin Moses
  • - clinique de SAVOIE , France, Metropolitan gay depassier philippe
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
  • - NOUR EL-ISLAM RADIOLOGY CENTER , Egypt elsayed mousa
  • - Father Muller Medical College , Mangalore , India nabil mahmood
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
▶ Correct Answer as Differential Diagnosis : 7/82,  8.5%
  • - Kasturba Medical College Manipal , India Paresh Desai
  • - Marien Hospital, Hamm , Germany Davis Chiramel
  • - NONE , India rekha gupta
  • - McGill University Health Centre , Canada Amr Ajlan
  • - Dongguk University International Hospital , Korea (South) Hee Seok Choi
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - OSWAL CANCER HOSPITAL , India LOVKESH MITTAL
▶ Semi-Correct Answer : 7/82,  8.5%
  • - Assam medical college, INDIA , India karunakaran M
  • - Assam Medical College , India PuNeeT JaLaN
  • - Osaka University , Japan Osamu Honda
  • - Yonsei University college of medicine Severance hospital , Korea (South) Hua Sun Kim
  • - Arora Neuro Centre,Ludhiana , India DEVENDRA KUMAR
  • - chest hospital , Egypt assaad assaad
  • - KASTURBA MEDICAL COLLEGE , India NAVEEN KULKARNI
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