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Weekly Chest CasesArchive of Old Cases

Case No : 585 Date 2009-01-12

  • Courtesy of Mi Jung Park, MD. Jung Im Jung, MD. / St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
  • Age/Sex 48 / M
  • Chief ComplaintCough for several months, blood tinged sputum
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Pulmonary Paragonimiasis
Radiologic Findings
Chest radiography shows a small patchy consolidation in right mid lung field.
Chest CT scans show an ill defined cavitary consolidation in right upper lobe, near the right major fissure. A small enlarged lymph node is noted in right hilum. An additional nodule is noted in right lower lobe, near the diaphragmatic pleura.
PET-CT scans show intense FDG uptake of right upper lobe nodule and R hilar lymph node.
Follow up chest CT scans show decreased in size of RUL nodule and RLL nodule.
Pulmonary paragnominiasis was confirmed by bronchoscopic biopsy and serologic test.
Brief Review
References
Please refer to
Case 11 Case 259 Case 295 Case 349 Case 409 Case 502 Case 527 Case 537
Keywords
Lung, Infection, Parasitic infection,

No. of Applicants : 88

▶ Correct Answer : 9/88,  10.2%
  • - Shiga University of Medical Science , Japan Norihisa Nitta
  • - Osaka University , Japan Osamu Honda
  • - China Medical University,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - Samsung Medical Center , Korea (South) Dae Kun Oh
  • - Yonsei University college of medicine Severance Hospital , Korea (South) Hua Sun Kim
  • - Dongguk University International Hospital , Korea (South) Hee Seok Choi
  • - Hopital universitaire Lausanne , Switzerland abed kourhani
  • - CHU Grenoble , France Fabrice Bing
  • - Armed Forces Chun-Cheon Hospital , Korea (South) ChaeHun Lim
▶ Correct Answer as Differential Diagnosis : 6/88,  6.8%
  • - Saga University , Japan Ryoko Egashira
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - govt royapettah hospital , India gopinathan kathirvelu
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - NOUR EL-ISLAM RADIOLOGY CENTER , Egypt elsayed mousa
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
▶ Semi-Correct Answer : 37/88,  42.0%
  • - Kasturba Medical College Manipal , India Paresh Desai
  • - EKH-Berlin , Germany Michael Weber
  • - Ruby Hall Clinic , India john joseph
  • - McGill University Health Center , Canada Alexandre Semionov
  • - POPOVO HOSPITAL , Bulgaria VLADISLAV RUSINOV
  • - Ruby Hall Clinic , India sudarshan rawat
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - john h stroger hsp , United States dheeraj reddy gopireddy
  • - MIR , United States Clint Jokerst
  • - Trakya Univercity School of Medicine, , Turkey Belma Kmazaslan
  • - Cheongshim international medical center , Korea (South) Hae Jum Yang
  • - Taichung Veterans General Hospital, Radiology department , Taiwan SI-WA CHAN
  • - care hospital , India chary d
  • - CHRU lille , France manuel toledano
  • - Father Muller Medical College , Mangalore , India nabil mahmood
  • - Hanmaeum Hospital , Korea (South) Kwon Hyoung Kim
  • - McGill University Health Centre , Canada Amr Ajlan
  • - Samsung Medical Center , Korea (South) Eun Kim
  • - Soonchunhyang university hospital, Bucheon , Korea (South) Hyelin Kim
  • - batra hospital new delhi , India shiva rastogi
  • - ottawa hospital , Canada nishard abdeen
  • - wonju christial hospital , Korea (South) Daekeon Lim
  • - second hospital xian jiaotong university , China li ming
  • - jiangsu province hospital , China yuan doctor
  • - ASL BOLOGNA - MAGGIORE HOSPITAL- ITALY , Italy MARCELLINO BURZI
  • - DCA, , India Rajesh Gothi
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - Goodmorning hospital , Korea (South) Kwang Keun Lee
  • - CH Sud Rnion , Reunion jean-baptiste Noel
  • - Gaziantep Kad Hastallarve Dom Hastanesi , Turkey Tay Bakar
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - HOSPITAL SOTIRIA , Greece AIKATERINI DELAVERI
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - Soonchunhyang University Cheonan Hospital , Korea (South) Park Sang Hyun
  • - Chungnam National University hospital , Korea (South) Kyoung Jin Oh
  • - Trakya University School of Medicine , Turkey Umut Ugur
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