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Weekly Chest CasesArchive of Old Cases

Case No : 604 Date 2009-05-24

  • Courtesy of Youngseo Cho, Yo Won Choi. / Hanyang University Seoul Hospital
  • Age/Sex 43 / F
  • Chief ComplaintSkin lesion for 10 years
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Sarcoidosis
Radiologic Findings
Chest radiograph shows diffuse ill-defined nodules predominantly in both upper lung zones. Note mass like opacities in both upper lung zones. Thin-section CT scans show multiple ill defined lung nodules along bronchovascular bundles and a mass like opacity in the right upper lobe representing progressive massive fibrosis. Nasal mucosal biopsy confirmed the diagnosis of sarcoidosis 5 years ago. Pulmonary lesion increased in extent despite of treatment since that time.
Brief Review
Please refer to
Case 423, Case 329,
References
Keywords
Lung, Non-infectious inflammation, Sarcoidosis,

No. of Applicants : 84

▶ Correct Answer : 43/84,  51.2%
  • - WARABI CITY HOSPITAL , Japan YASUO OKUBO
  • - Osaka University , Japan Osamu Honda
  • - Shiga University of Medical Science , Japan Norihisa Nitta
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - hospital Sao Paulo , Brazil israel missrie
  • - HOSPITAL SOTIRIA , Greece AIKATERINI DELAVERI
  • - CHU caen , France nicolas gautier
  • - IRSA , France jean BIGOT
  • - CHRU lille , France manuel toledano
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - Univ. of Miami/Jackson Memorial , United States mantosh rattan
  • - Assam medical college , India Karunakaran M
  • - SNUBH , Korea (South) Kyoung Jin Oh
  • - kims,narkatpally , India k bhaskar
  • - KMC,Manipal , India satish maddukuri
  • - CHUV, Lausanne , Switzerland Andrea Ojanguren
  • - Gimpo Woori Hospital , Korea (South) Son Youl Lee
  • - CHRU Lille , France Benjamin Damarey
  • - Paramount Diagnostic & Research Centre , India Mahavir Swami
  • - Soonchunhyang university hospital, Bucheon , Korea (South) Hyelin Kim
  • - National Taiwan University Hospital, YL branch , Taiwan Chin-Chung Shu
  • - CHU GRENOBLE FRANCE , France anne-line MORONI
  • - Shinsegye Rad Clinic, Daegu , Korea (South) Gi Beom Kim
  • - Medical IT Consulting , Japan Kazumasa Nishimura
  • - CH Macon , France sebastien LARIVE
  • - The Armed Forces Daegu Hospital , Korea (South) Hyungwoo Oh
  • - nirman hitech diagnostic centre , India minal seth
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - Hopital du SacrCoeur , Canada Abraham Bohadana
  • - clinique de rochefort , France viviane pages
  • - Hanmaeum Hospital , Korea (South) Kwon Hyoung Kim
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - john h stroger hsp , United States dheeraj reddy gopireddy
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - Beaulieu clinic Geneva , Switzerland gilles GENIN
  • - UZ GASTHUISBERG , Belgium Johan COOLEN
  • - Toyama University Hospital, Laboratory of Pathology , Japan TANAKA TOMONORI
  • - Seoul Nationial University Bundang Hospital , Korea (South) Hee Seok Choi
  • - Armed Forces Chun-Cheon Hospital , Korea (South) Chae Lim
▶ Correct Answer as Differential Diagnosis : 13/84,  15.5%
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - KING KHALID UNIVERSITY HOSPITAL,RIYADH , Saudi Arabia NABIL GHALEB
  • - Changhua Christian Hospital , Taiwan Chia-Fu Tsai
  • - Father Muller Medical College , Mangalore , India nabil mahmood
  • - Kashan University of Medical Sciences, kashan , Iran Ebrahim Razi
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - Trakya University School of Medicine , Turkey Umut Ugur
  • - Armed Force Capital Hospital , Korea (South) Dae Kun Oh
  • - CHU Grenoble , France Fabrice Bing
  • - NASA SCANS , India RAKESH BHATIA
  • - McGill University Health Center , Canada Alexandre Semionov
  • - PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
  • - PITTWATER RADIOLOGY , Australia Julie Arora
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