Weekly Chest CasesArchive of Old Cases

Case No : 1060 Date 2018-02-19

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  • Courtesy of Junyoung Lee, MD, Yo Won Choi, MD. / Hanyang University Hospital, Hanyang University College of Medicine
  • Age/Sex 59 / F
  • Chief ComplaintCough, sputum, dyspnea / underlying asthma
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Typical carcinoid tumor
Radiologic Findings
1. Chest PA view shows consolidation obliterating the right lower heart border.
2-4. Enhanced CT of the chest show a proximal bronchial lesion of right middle lobar bronchus with distal pulmonary consolidation suggestive of obstructive pneumonia. The endobronchial obstructive lesion appears well-enhanced. Attenuation of the endobronchial lesion was 60HU on enhanced CT.
5. Chest PA obtained 3 years ago shows similar consolidation in the right middle lobe.
6. A bronchoscopic image shows a highly vascular submucosal tumor obstructing the right middle lobe bronchus.
Brief Review
Bronchial carcinoids are uncommon pulmonary neoplasms and represent 1%
References
1. Rosado de Christenson ML, Abbott GF, Kirejczyk WM, Galvin JR, Travis WD. Thoracic carcinoids: radiologic-pathologic correlation. RadioGraphics 1999;19:707
Keywords
Airway, Neoplasm,

No. of Applicants : 95

▶ Correct Answer : 10/95,  10.5%
  • - MD , India DEEPANDER SINGH RATHORE
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - university of montreal , Canada Andrei Bogdan Gorgos I
  • - Qatif Central Hospital , Saudi Arabia Hani Makky Al Salam
  • - HHS , Canada S LEE
  • - Louisiana State University - Shreveport , United States CARLOS H PREVIGLIANO
  • - The University of Tokyo Hospital , Japan TAKU TAJIMA
  • - Kizawa Memorial Hospital , Japan Shoji Okuda
  • - Hamamatsu university school of medicine , Japan YUKI HAYASHI
  • - Chonnam National University Hwasun Hospital , Korea (South) JONG EUN LEE
▶ Correct Answer as Differential Diagnosis : 22/95,  23.2%
  • - Hyogo Prefectural Amagasaki General Medical Center , Japan TOMOAKI OTANI
  • - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
  • - ZIGONG TCM HOSPITAL OF CHINA , China Cao Cunyou
  • - Higashi-Ohmi General Medical Center , Japan AKITOSHI INOUE
  • - The University of Tokyo Hospital , Japan Akifumi Hagiwara
  • - NIMS, HYDERABAD , India BHASKAR K
  • - Other , Korea (South) SEONGSU KANG
  • - Asan Medical Center , Korea (South) HYUN JUNG KOO
  • - 罹…stanbul , Turkey AYHAN YILMAZ
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Gifu University Hospital , Japan Yo Kaneko
  • - The University of Tokyo Hospital , Japan RYO KUROKAWA
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey MERIC TUZUN
  • - Other , Korea (South) HAYEON LEE
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - Azienda Ospedaliera di Cremona , Italy Pietro Sergio
  • - Yujin Yamazaki Hospital , Japan MASASHI TAKAHASHI
  • - MBAL BURGAS , Bulgaria VLADISLAV BOYANOV RUSINOV
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
  • - The University of Tokyo Hospital , Japan HIROSHI TAKUMIDA
  • - Seoul National University Hospital , Korea (South) YONGSUB SONG
  • - Jiangsu province hospital , China WANGJIAN ZHA
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