Weekly Chest CasesArchive of Old Cases

Case No : 620 Date 2009-09-14

  • Courtesy of Byung Hak Rho / Dongsan medical center, school of medicine, Keimyung Univercity
  • Age/Sex 52 / M
  • Chief ComplaintDry cough for 6 months
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Desqumative interstitial pneumonia
Radiologic Findings
Chest PA shows bilateral reticular opacities and suspicious ground-glass opacity in both lower lung fields.
Cross-sectional high-resolution CT images checked at outside hospital show diffuse bilateral ground-glass attenuation in both lower lung zone. Note cystic spaces within the subpleural areas of ground-glass attenuation.
VATS biopsy specimen of the patient shows numerous brown pigmented alveolar macrophages filling alveolar duct and airspaces (Fig 5,6).
Brief Review
Please refer Case 266.
References
Keywords
Lung, Idiopathic interstitial pneumonia, DIP, smoking related, IIP,

No. of Applicants : 93

▶ Correct Answer : 26/93,  28.0%
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - EWHA WOMANS MOKDONG UNIVERSITY HOSPITAL , Korea (South) YOOKYUNG KIM
  • - Assam medical college , India Karunakaran M
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OKUBO
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - Samsung Medical Center , Korea (South) Ju Won Lee
  • - hospital Sao Paulo , Brazil israel missrie
  • - Osaka University , Japan Osamu Honda
  • - Asan Medical Center , Korea (South) Hye Jeon Hwang
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - Saga University , Japan Ryoko Egashira
  • - khartoum university sudan college of post graduate , Saudi Arabia elbagir nasser
  • - Toyama University Hospital, Laboratory of Pathology , Japan TANAKA TOMONORI
  • - aarthi scans , India abirami mahadevan
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - Dong-A university hospital , Korea (South) Sang LEE
  • - Yonsei University college of medicine Severance Hospital , Korea (South) Hua Sun Kim
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - Radiologie Centrale CHU Saint Etienne , France Romain MALEZIEUX
  • - IRSA , France jean-luc BIGOT
  • - EKH-Berlin , Germany Michael Weber
  • - kims,narkatpally , India k bhaskar
  • - Seoul St Mary , Korea (South) Jin Kyoung Oh
  • - Beaulieu clinic Geneva , Switzerland gilles GENIN
  • - UZ GASTHUISBERG , Belgium Johan COOLEN
  • - All India Institute of Medical Sciences , India Ashish Gupta
▶ Correct Answer as Differential Diagnosis : 38/93,  40.9%
  • - SMG-SNUH boramae medical center , Korea (South) Kwang Nam Jin
  • - McGill University Health Centre , Canada Amr Ajlan
  • - Father Muller Medical College , Mangalore , India nabil mahmood
  • - Seoul Nationial University Bundang Hospital , Korea (South) Kyoung Jin Oh
  • - HOSPITAL SOTIRIA , Greece AIKATERINI DELAVERI
  • - Univ. of Miami/Jackson Memorial , United States mantosh rattan
  • - severance hospital , Korea (South) Lee, Kyung Jong
  • - POPOVO HOSPITAL , Bulgaria VLADISLAV RUSINOV
  • - National Taiwan University Hospital, YL branch , Taiwan Chin-Chung Shu
  • - Hospital M de Deus , Brazil Thiago Bento da Silva
  • - Trakya University School of Medicine, Turkey , Turkey Ahmet POLAT
  • - Paramount Diagnostic & Research Centre , India Mahavir Swami
  • - DCA, , India Rajesh Gothi
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Assam Medical college , India samudra borah
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - Shinsegye Rad Clinic, Daegu , Korea (South) Gi Beom Kim
  • - Soonchunhyang university hospital, Bucheon , Korea (South) Hyelin Kim
  • - IRCCS Istituto Oncologico Bari , Italy Carlo Florio
  • - MD SKNMC & GH,Pune,Maharashtra, INDIA , India Sushant Bhadane
  • - Armed Force Capital Hospital , Korea (South) Dae Kun Oh
  • - Bundang CHA hospital , Korea (South) Jung Jin Young
  • - clinique de rochefort , France viviane pages
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - Hopital du SacrCoeur , Canada Abraham Bohadana
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - Seoul Nationial University Bundang Hospital , Korea (South) Hee Seok Choi
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - , Korea (South) Daekeon Lim
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - Trakya University School of Medicine , Turkey Umut Ugur
  • - Kashan University of Medical Sciences, kashan , Iran Ebrahim Razi
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - CHRU Lille , France Benjamin Damarey
  • - CHU caen , France nicolas gautier
  • - Armed Forces Chun-Cheon Hospital , Korea (South) Chae Lim
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