대한흉부영상의학회 Korean Society of Thoracic Radiology

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Weekly Chest CasesArchive of Old Cases

Case No : 506 Date 2007-07-09

  • Courtesy of Eun Hui Kim, MD, Jung Im Jung, MD. / Department of Radiology, St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea
  • Age/Sex 21 / M
  • Chief ComplaintLeft pleuritic chest pain for 1 month
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Pulmonary tuberculosis granuloma as a paradoxical worsening of tuberculous pleural effusion
Radiologic Findings
Initial chest radiograph shows left pleural effusion.
Initial Chest CT scan shows pleural effusion in dependent portion of left lower thorax with subpleural linear consolidation .
FU chest radiograph shows newly developed lobulating masses in the subpleural portion of the left mid and lower thorax.
Chest CT scan shows newly developed lobulating, heterogeneously enhancing subpleural lesion in the left lung. Note thickened pleura.
Percutaneous needle biopsy of the lung lesion showed caseating granulomas consistent with tuberculosis.
Brief Review
Please refer to
Case 301,
References
Keywords
Pleura, Lung, Infection, Bacterial infection, Tuberculosis,

No. of Applicants : 44

▶ Correct Answer : 16/44,  36.4%
  • - Registrar in Radiology, UHL NHS Trust, UK A. Donuru
  • - Sinsegye Rad Clinic, Daegu, Korea Kim Gi Beom
  • - Zhongshan Hospital, Fudan University, Shanghai, China Sheng-xiang Rao
  • - NUH, nottingham, UK Rohit Kochhar
  • - E-Da hospital, Taiwan Yu-Feng Wei
  • - Osaka University, Japan Osamu Honda
  • - Hangang Sacred Heart Hospital, Korea Eil Seong Lee
  • - Korea Hye Mi Gwon
  • - Seoul National University Hospital, Korea Gyoung Min Kim
  • - EKH-Berlin, Germany Michael Weber
  • - Saint-etienne, France Antoine Marie
  • - Annecy Hospital, France Olivier Segall
  • - Homs National Hospital, Homs - Syria Rami Abou Zalaf
  • - CHU Grenoble, France Bing Fabrice
  • - IRSA La Rochelle, France Jean-Luc BIGOT
  • - China Medical University Hospital, Taiwan Jun-Jun Yeh
▶ Correct Answer as Differential Diagnosis : 11/44,  25.0%
  • - Kazipet, Warangal, AP, India Pavankumar Vodithala
  • - Dept. of radiology, Inje University Ilsan Paik Hospital, Korea Bae Geun Oh
  • - Mackay Memorial Hospital, Taipei, Taiwan Chia-Fu Tsai
  • - Dept. of Radiology, Seoul National University Hospital, Korea Kwang Nam Jin
  • - Regional Imaging Riverina, Australia Rashid Hashmi
  • - Aditya Imaging centre, Sayajigunj, Vadodara, Gujarat, India Vivek Patel
  • - Annemasse, Polyclinique De Savoie, France Gay-Depassier Philippe
  • - IRSA, La Rochelle, France Denis Chabassiere
  • - Yongsan Hospital, College of Medicine Chung-Ang University, Korea Jae Seung Seo
  • - Dept. of Radiology, Vancouver General Hospital, Vancouver, Canada Owen Chiu
  • - Max Hospital, New Delhi, India Vickrant Malhotra
▶ Semi-Correct Answer : 3/44,  6.8%
  • - Annecy hospital, France Gilles Genin
  • - Hospital Sotiria, Athens, Greece Vasilios Tzilas
  • - PGIMER, Chandigarh, India Ram Prakash Galwa
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