대한흉부영상의학회 Weekly Chest Cases

Case No : 1309 Date 2022-11-21

Courtesy of Kyung Hee Lee / Bundang Seoul National University Hospital
Age/Sex 57 / F
Chief Complaintpleural effusion

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Diagnosis With Brief Discussion

Diagnosis: Meigs syndrome
Radiologic Findings: Fig 1. Rt pleural effusion
Fig 2. Rt chest PCD was inserted for Rt pleural effusion. On follow-up CT, Lt pleural effusion and ascites developed.
Fig 3. PET/CT shows no FDG uptake in the thorax.
Fig 4. PET/CT showed incidental Rt pelvic mass.
Fig 5. Rt pelvic mass appeared to originate from the ovary. A benign ovarian mass was suspected.
Brief Review: The pelvic mass was confirmed to be Rt ovarian fibroma. No malignant cell was detected in pleural fluid analysis.
Meigs syndrome is defined as the presence of ascites and pleural effusion in association with a benign ovarian tumor. The ascites and pleural effusion disappear after the tumor is removed. While fibromas are the most common tumors associated with Meigs syndrome, the incidence of specific types of ovarian tumors associated with Meigs syndrome varies.
References: Radiology 2007; 242:940 –944
Keywords

No. of Applicants : 94

▶ Correct Answer : 76/94, 80.9%

- Ishikawa Matto Central Hospital , Japan MANABU AKIMOTO
- Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
- , Japan HIROAKI ARAKAWA
- Jichi Medical University Hospital , Japan JUN KANZAWA
- , Japan KYOKO NAGAI
- Showa General Hospital , Japan MASAFUMI KAIUME
- Mayo Clinic , United States AKITOSHI INOUE
- , United Kingdom SAMSON KADE
- McGill University Health Center , Canada ALEXANDRE SEMIONOV
- Kyoto City Hospital , Japan YUSUKE UTSUNOMIYA
- IRSA LA ROCHELLE , France JEAN LUC BIGOT
- National Center of Neurology and Psychiatry , Japan MOTO NAKAYA
- , Italy PAOLO BALDASSARI
- Tiger Gate Hospital , Japan SHIN-ICHI CHO
- Chonnam National University Hwasun Hospital , Korea (South) HONG SEOK CHOI
- Asan Medical Center , Korea (South) EUNJI CHOI
- Chungbuk National University Hospital , Korea (South) JIYUN KANG
- Vita Hospital , Brazil DIOGO LAGO PINHEIRO
- Other , Korea (South) SEONGSU KANG
- Scans world , India PHILSON JOSEPH MUKKADA
- , China FANG YING GEN
- Oita University, Faculty of Medicine , Japan FUMITO OKADA
- Seoul Medical Center , Korea (South) HYUK GI HONG
- Samsung Medical Center , Korea (South) JUHYUN KIM
- university of montreal , Canada Andrei Bogdan Gorgos I
- Chonbuk National University Hospital , Korea (South) JUNGHWAN KIM
- Osaka University , Japan AKINORI HATA
- Osaka Metropolitan University , Japan HIROTAKA TAKITA
- Shimada General Medical Center , Japan HAYATO NOZAWA
- , Korea (South) MINJI KIM
- Soonchunhyang University Hospital Bucheon , Korea (South) HYEJOO PARK
- The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
- Yamanashi Prefectural Central Hospital , Japan HIROAKI WATANABE
- Narayana Multispeciality Hospital Jaipur Rajasthan , India JAINENDRA JAIN
- , Japan SHINTARO KANO
- , Japan KENTARO KOTANI
- Kyoto University Hospital , Japan YASUHISA KURATA
- Mallinckrodt Institute of Radiology , United States NAGANATHAN MANI
- Osaka Metropolitan University Hospital , Japan SHU MATSUSHITA
- Chungbuk National University Hospital , Korea (South) MIHYEON PARK
- Jichi Medical University, School of Medicine , Japan MITSURU MATSUKI
- University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
- Eskisehir Sehir Hastanesi , Turkey MURAT SAHIN
- , Qatar NABIL SHERIF MAHMOOD
- , United Arab Emirates NEHAR RANJAN CHAKRABORTY
- Osaka metropolitan university Hospital , Japan TATSUSHI OURA
- Seoul National University Hospital , Korea (South) SE WOO KIM
- Other , Korea (South) SEONG WON JANG
- Dokkyo Medical University , Japan HIROAKI ARAKAWA
- Chonnam National University Hwasun Hospital , Korea (South) JEONG YEOP LEE
- Manipal hospital Hebbal ,Bengaluru , India PRAVIN KUMAR M
- , Japan AOKI HIKARU
- Holy Family Hospital , India RAJESH GOTHI
- Chonnam National University Hospital , Korea (South) KIM SANG GYUN
- Other , Korea (South) KYU-CHONG LEE
- Mie University Hospital , Japan KENSUKE DOMAE
- Kyoto University Hospital , Japan SATOSHI IKEDA
- Paras hospital, Panchkula , India SHALEEN RANA
- , Korea (South) SEUNG HOON OH
- Nishida Hospital , Japan SHOJI OKUDA
- Seoul National University Bundang Hospital , Korea (South) YOONAH DO
- Yonsei University,Severance Hospital , Korea (South) SEO BUM CHO
- Toranomon Hospital , Japan KAORU SUMIDA
- Ichinomiya Nishi Hospital , Japan Takao Kiguchi
- Nerimahikarigaoka hospital , Japan TAKANA HAYASHI
- The University of Tokyo Hospital , Japan HIROSHI TAKUMIDA
- Matsunami General Hospital , Japan TARO TAKEDA
- , Japan YUMI MAEHARA
- Shiga University of Medical Science , Japan RYO UEMURA
- , Japan NOBUYUKI OTANI
- , Japan YUKI HAYASHI
- Diagnose.me (BV) / Royal Perth Hospital , Australia YURANGA WEERAKKODY
- Chonbuk National University Hospital , Korea (South) HYEONG RYUN CHO
- , Korea (South) HM PARK
- the first affiliatited hospital of nanjing medical univercity , China HAI XU
- Chonnam National University Hospital , Korea (South) EUN JU KIM

▶ Correct Answer as Differential Diagnosis : 5/94, 5.3%

- , Japan YUKIKO USUI
- Gifu University Hospital , Japan Yo Kaneko
- Avrasya Hospital/ISTANBUL , Turkey MURAT ULUSOY
- University of Tsukuba Hospital , Japan SODAI HOSHIAI
- Pusan National University Yangsan Hospital , Korea (South) JI HWAN KIM

▶ Semi-Correct Answer : 4/94, 4.3%

- Ulsan University Hospital , Korea (South) SOYEOUN LIM
- , Turkey MURAT TEPE
- , Korea (South) JIN YOUNG LEE
- , Japan HIKARI FUKUI

대한흉부영상의학회 Korean Society of Thoracic Radiology

Archive of Old Cases

Case No : 1309 Date 2022-11-21

Discussion

No. of Applicants : 94