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Weekly Chest CasesArchive of Old Cases

Case No : 614 Date 2009-08-02

  • Courtesy of Hyun Jin Park / St. Vincent's Hospital, College of Medicine, Catholic University
  • Age/Sex 39 / M
  • Chief ComplaintIncidental finding
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5
  • Figure 6
  • Figure 7

Diagnosis With Brief Discussion

Diagnosis
Left isomerism
Radiologic Findings
Posteroanterior chest radiograph shows dextrocardia and a right sided stomach gas. Note a bilateral left-sided configuration of the airway. CT with a lung window setting shows bilobed lungs with hyparterial bronchi. Bilateral superior vena cava is associated. Contrast enhanced CT scans reveals polysplenia, IVC interruption with azygos continuation, mildline liver and pancreas, intestinal malrotation.


Brief Review
Please refer to Case 274
References
Keywords
Airway, Vascular, Congenital,

No. of Applicants : 95

▶ Correct Answer : 35/95,  36.8%
  • - Hopital universitaire Lausanne , Switzerland abed kourhani
  • - hospital Sao Paulo , Brazil israel missrie
  • - Osaka University , Japan Osamu Honda
  • - Univ. of Miami/Jackson Memorial , United States mantosh rattan
  • - Seoul National University Bundang Hospital , Korea (South) Kwang Nam Jin
  • - SMC , Korea (South) Jihoon Cha
  • - EWHA WOMANS MOKDONG UNIVERSITY HOSPITAL , Korea (South) YOOKYUNG KIM
  • - , Korea (South) Daekeon Lim
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OKUBO
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - CHRU Lille , France Benjamin Damarey
  • - Shinsegye Rad Clinic, Daegu , Korea (South) Gi Beom Kim
  • - Goa Medical College , India Paresh Desai
  • - All India Institute of medical sciences , India Justin Moses
  • - IRCCS Istituto Oncologico Bari , Italy Carlo Florio
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - All India Institute of Medical Sciences , India Ashish Gupta
  • - Samsung Medical Center , Korea (South) Ju Won Lee
  • - Beaulieu clinic Geneva , Switzerland gilles GENIN
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - Barnard Institute of Radiology , India Bhuvaneswaran Natarajan
  • - CHU caen , France nicolas gautier
  • - IRSA , France jean-luc BIGOT
  • - Barnard Institute of Radiology , India Sathyasree
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - Yonsei University college of medicine Severance Hospital , Korea (South) Hua Sun Kim
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - UZ GASTHUISBERG , Belgium Johan COOLEN
  • - Seoul Nationial University Bundang Hospital , Korea (South) Kyoung Jin Oh
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - Seoul Nationial University Bundang Hospital , Korea (South) Hee Seok Choi
  • - PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
  • - PITTWATER RADIOLOGY , Australia Julie Arora
  • - Gimpo Woori Hospital , Korea (South) Son Youl Lee
▶ Correct Answer as Differential Diagnosis : 4/95,  4.2%
  • - Samsung Medical Center , Korea (South) Eun Kim
  • - CHUM, Hital du SacrCoeur, Montrl , Canada Andrea Ojanguren
  • - NOUR EL-ISLAM RADIOLOGY CENTER , Egypt Elsayed Mousa
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
▶ Semi-Correct Answer : 32/95,  33.7%
  • - Shiga University of Medical Science , Japan Norihisa Nitta
  • - POPOVO HOSPITAL , Bulgaria VLADISLAV RUSINOV
  • - Trakya University School of Medicine , Turkey Umut Ugur
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - Radiology , Korea (South) Inyoung Youn
  • - SRI RAVI NURSING HOME,,WARANGAL , India PAVAN KUMAR VODITHALA
  • - Asan Medical Center , Korea (South) Jae-Woo Song
  • - G.R.M.C. GWALIOR , India anup gupta
  • - manipal university. india , India venki bujji
  • - Pusan National University Hospital , Korea (South) Yu Li Sol
  • - CHU Nancy , France, Metropolitan Guillaume LUX
  • - DR.D.Y. PATIL MEDICAL COLLEGE , NAVI MUMBAI. , India girish verma
  • - khartoum university sudan college of post graduate , Saudi Arabia elbagir nasser
  • - McGill University Health Centre , Canada Amr Ajlan
  • - Assam medical college , India Karunakaran M
  • - Hospital M de Deus , Brazil Thiago Bento da Silva
  • - Seoul national university hospital , Korea (South) A Jung Chu
  • - Saga University , Japan Ryoko Egashira
  • - National Taiwan University Hospital, YL branch , Taiwan Chin-Chung Shu
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - CHUV , Switzerland Philipp Rau
  • - aarthi scans , India abirami mahadevan
  • - Kashan University of Medical Sciences, kashan , Iran Ebrahim Razi
  • - Clinica Las Condes , Chile David LadronDeGuevara
  • - apollo hospitals , India harish bhambore
  • - NATIONAL HOSPITALS , United Arab Emirates ABDUL RESHI
  • - Uzunkopru Devlet Hastanesi , Turkey Armagan Sarac
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - NTUH , Taiwan Kuei-pin Chung
  • - NASA SCANS , India RAKESH BHATIA
  • - Samsung Medical Center , Korea (South) Hye Sun Hwang
  • - Asan Medical Center , Korea (South) Seong Yun Kim
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