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Weekly Chest CasesArchive of Old Cases

Case No : 623 Date 2009-10-04

  • Courtesy of Han Song Mun, Choong Woook Lee, Hyun Ju Lee, Eun Jin Chae, Kyung-Hyun Do / Asan Medical Center, Seoul, Korea
  • Age/Sex 64 / M
  • Chief ComplaintRight pleuritic chest pain for 2 months
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Malignant mesothelioma
Radiologic Findings
Chest radiograph of the chest shows circumferential, lobulated pleural thickening with volume loss in the right lung.
Axial contrast-enhanced CT scan shows that circumferential, lobulated pleural thickening encases the right lung. Tumor tissue is also seen abutting the mediastinum and pericardium.
Brief Review
Mesothelioma of the thorax is a malignant neoplasm that involves the parietal pleura to a greater extent than the visceral pleura. There is a significantly increased risk of developing this disease in those individuals with prior exposure to asbestos. The lifetime risk of developing mesothelioma in heavily exposed individuals is as high as 10%. There is a long latent period of approximately 35
References
1. Tyszko SM, Marano GD, Tallaksen RJ. Malignant Mesothelioma. RadioGraphics 2007; 27: 259-264.
Keywords
Pleura, Malignant tumor,

No. of Applicants : 100

▶ Correct Answer : 78/100,  78.0%
  • - Bundang CHA hospital , Korea (South) Jung Jin Young
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - CHRU Lille , France Benjamin Damarey
  • - aerospacemedial center , Korea (South) Daekeon Lim
  • - Shiga University of Medical Science , Japan Norihisa Nitta
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - SMG-SNUH boramae medical center , Korea (South) Kwang Nam Jin
  • - McGill University Health Centre , Canada Amr Ajlan
  • - Osaka University , Japan Osamu Honda
  • - NTUH , Taiwan Kuei-pin Chung
  • - Uzunkopru Devlet Hastanesi , Turkey Armagan Sarac
  • - Assam medical college , India Karunakaran M
  • - hospital Sao Paulo , Brazil israel missrie
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun JunYeh
  • - Samsung Medical Center , Korea (South) Ju Won Lee
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OKUBO
  • - POPOVO HOSPITAL , Bulgaria VLADISLAV RUSINOV
  • - aarthi scans , India abirami mahadevan
  • - Samsung Medical Center , Korea (South) Eun Kim
  • - Louisiana State University - Shreveport , United States Carlos Previgliano
  • - Cairo University , Egypt Mamdouh Eissa
  • - KIMS HYDERABAD , India namrata kalamkar
  • - KING KHALID UNIVERSITY HOSPITAL , Saudi Arabia elbagir nasser
  • - Shinsegye Rad Clinic, Daegu , Korea (South) Gi Beom Kim
  • - Institute of Chest Diseases,Calicut , India sijith raghavan
  • - EWHA WOMANS MOKDONG UNIVERSITY HOSPITAL , Korea (South) YOOKYUNG KIM
  • - barnard institute of radiology , India jithika prem
  • - Univ. of Miami/Jackson Memorial , United States mantosh rattan
  • - Radiologie Centrale CHU Saint Etienne , France Romain MALEZIEUX
  • - Seoul National University Hospital , Korea (South) Hye Jin Yoo
  • - Seoul Nationial University Bundang Hospital , Korea (South) Kyoung Jin Oh
  • - Samsung Medical Center , Korea (South) Sang Yu Nam
  • - SMC , Korea (South) Jihoon Cha
  • - chp st martin , France Mariotte benoit
  • - KMC,Manipal , India satish maddukuri
  • - CHU Grenoble , France Fabrice Bing
  • - Soonchunhyang University Cheonan Hospital , Korea (South) Park Sang Hyun
  • - Dong-A university hospital , Korea (South) Sang-yun LEE
  • - CHRU lille , France manuel toledano
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Ruby Hall Clinic , India john joseph
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - EKH-Berlin , Germany Michael Weber
  • - Soonchunhyang university hospital, Bucheon , Korea (South) Hyelin Kim
  • - CHU Nancy , France, Metropolitan Guillaume LUX
  • - HOSPITAL SOTIRIA , Greece AIKATERINI DELAVERI
  • - Trakya University School of Medicine , Turkey Umut Ugur
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - CHRU Lille , France guillaume lefebvre
  • - Mackay Memorial Hospital , Taiwan Sheng-Yeh Shen
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - Busan Paik hospita, inje medical college , Korea (South) Hye Jin Baek
  • - Armed Force Capital Hospital , Korea (South) Dae Kun Oh
  • - Assam Medical college , India samudra borah
  • - National Taiwan University Hospital, YL branch , Taiwan Chin-Chung Shu
  • - IRSA , France jean-luc BIGOT
  • - vinayaka missions medical college , India k bhaskar
  • - Goa Medical College , India Paresh Desai
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - Hopital du SacrCoeur , Canada Abraham Bohadana
  • - CHU GRENOBLE , France g FERRETTI
  • - All India Institute of Medical Sciences , India Ashish Gupta
  • - NOUR EL-ISLAM RADIOLOGY CENTER , Egypt Elsayed Mousa
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - CHU caen , France nicolas gautier
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - CH Sud Rnion , Reunion jean-baptiste Noel
  • - Hital SacrCoeur, Montrl , Canada Andrea Ojanguren
  • - Kangnam Sacred Heart Hospital , Korea (South) Jaewon Kim
  • - NASA SCANS , India RAKESH BHATIA
  • - All India Institute of medical sciences , India Justin Moses
  • - UZ GASTHUISBERG , Belgium Johan COOLEN
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - CHU GRENOBLE FRANCE , France anne-line MORONI
  • - Saga University , Japan Ryoko Egashira
  • - Chungnam national university hospital , Korea (South) Jeoung Eun Lee
▶ Correct Answer as Differential Diagnosis : 18/100,  18.0%
  • - Seoul National University Hospital , Korea (South) Sang Min Lee
  • - Retd. Prof Thoracic Surgery B.J.MEDIDCAL COLLEGE Punr India , India Bankim Amin
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - DALLAH HOSPITAL SAUDIARABIA , Egypt BOUTHINA IBRAHIM
  • - Father Muller Medical College , Mangalore , India nabil mahmood
  • - Yashoda hospitals , India kirti parsi
  • - partner, aditya imaging centre , India vivek patel
  • - Paramount Diagnostic & Research Centre , India Mahavir Swami
  • - Trakya University School of Medicine, Edirne , Turkey Ahmet POLAT
  • - DCA, , India Rajesh Gothi
  • - Kashan University of Medical Sciences, kashan , Iran Ebrahim Razi
  • - CHU brest , France, Metropolitan Auffret Mathieu
  • - Asan Medical Center , Korea (South) Hye Jeon Hwang
  • - Seoul St Mary , Korea (South) Jin Kyoung Oh
  • - Toyama University Hospital, Laboratory of Pathology , Japan TANAKA TOMONORI
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Seoul Nationial University Bundang Hospital , Korea (South) Hee Seok Choi
  • - Apollo Gleneagles hosp kolkata , India SALIM PARVEZ
▶ Semi-Correct Answer : 2/100,  2.0%
  • - MD SKNMC & GH,Pune,Maharashtra, INDIA , India Sushant Bhadane
  • - Yashoda Superspeciality hospital , India Pravin Mahadevappa
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