Cases by Disease Category
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Case No : 1232 Date 2021-06-01
- Courtesy of Jae Wook Lee, Kyung Eun Shin, Jai Soung Park / Soonchunhyang University Bucheon Hospital
- Age/Sex 82 / F
- Chief ComplaintAcute onset dyspnea after slip down.
Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Fat embolism syndrome
- Radiologic Findings
- Fig. 1. Chest anteroposterior radiograph showing diffuse and patchy increased opacities in both lung fields.
Figs. 2 - Brief Review
- The patient had a fracture in the right femoral neck due to a slip down.
Bronchoalveolar lavage analysis revealed oil red O-positive lipid globules in histiocytes (fat embolism clinically).
Fat embolism is an infrequent complication of long bone fractures, occurring in 1% - Please refer to Case 837, Case 449, Case 297, Case 257,
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KSTR imaging conference 2017 Spring Case 10
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KSTR Imaging Conference 2014 Summer Case 2 ,
KSTR Imaging Conference 2005 Summer Case 2 ,
KSTR Imaging Conference 2004 Spring Case 4,
- References
- 1. Han D, Lee KS, Franquet T, et al. Thrombotic and nonthrombotic pulmonary arterial embolism: spectrum of imaging findings. Radiographics. 2003;23:1521-1539.
2. Georgopoulos D, Bouros D. Fat embolism syndrome: clinical examination is still the preferable diagnostic method. Chest. 2003;123:982-983.
- Keywords
No. of Applicants : 97
- ▶ Correct Answer : 77/97, 79.4%
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- - Ishikawa Matto Central Hospital , Japan MANABU AKIMOTO
- - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
- - , Japan HIROAKI ARAKAWA
- - ZIGONG TCM HOSPITAL OF CHINA , China CAO CUN YOU
- - Kinki University Faculty of Medicine, , Japan MITSURU MATSUKI
- - Showa University Fujigaoka Hospital , Japan KYOKO NAGAI
- - Showa General Hospital , Japan MASAFUMI KAIUME
- - Mayo Clinic , United States AKITOSHI INOUE
- - Chungbuk National University Hospital , Korea (South) YEONGTAE PARK
- - National cancer center hospital east , Japan SHIOTO ODA
- - Other , Korea (South) HYEJIN YANG
- - , Korea (South) HYEYOUNG CHOI
- - Ajou University School of Medicine , Korea (South) JUNG YONG JUN
- - Affilitated Hospital of Jining Medical college , China JIANG SHENG HUA
- - , United Kingdom SAMSON KADE
- - Chonbuk National University Hospital , Korea (South) MINGI SHIN
- - Osaka Red Cross Hospital , Japan YUSUKE UTSUNOMIYA
- - NIMS, HYDERABAD , India BHASKAR K
- - National Center of Neurology and Psychiatry , Japan MOTO NAKAYA
- - Inje University Haeundae Paik Hospital , Korea (South) HYUNGIN PARK
- - , Italy PAOLO BALDASSARI
- - Tiger Gate Hospital , Japan SHIN-ICHI CHO
- - , Japan CHIAKI SATO
- - Ichinomiya Nishi Hospital , Japan CHIHIRO KIGUCHI
- - Chungbuk National University Hospital , Korea (South) JIYUN KANG
- - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
- - Other , Korea (South) SEONGSU KANG
- - , Korea (South) JIN YOUNG LEE
- - Samsung Medical Center , Korea (South) JUHYUN KIM
- - university of montreal , Canada Andrei Bogdan Gorgos I
- - Chonbuk National University Hospital , Korea (South) JUNGHWAN KIM
- - Qatif Central Hospital , Saudi Arabia HANI MAKKY ALSALAM
- - Kangwon National University Hospital , Korea (South) HAN SOL KANG
- - Ajou University Hospital , Korea (South) HAEIN LEE
- - Shimada General Medical Center , Japan HAYATO NOZAWA
- - National Center for Global Health and Medicine , Japan MASATOSHI HOTTA
- - Other , Korea (South) HYEON IL CHOI
- - , Korea (South) HYEWON CHOI
- - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
- - Seoul National University Bundang Hospital , Korea (South) SUNG HYUN YOON
- - Kyeongpook National University Hospital , Korea (South) HYEONJUN JANG
- - Yeungnam University Medical Center , Korea (South) JONGSOO PARK
- - Gifu University Hospital , Japan Yo Kaneko
- - , Japan KANAE TAKAHASHI
- - Chonnam National University Hwasun Hospital , Korea (South) MYUNG WON SONG
- - The University of Tokyo Hospital , Japan RYO KUROKAWA
- - , Korea (South) EUNJIN LEE
- - Ajou University Hospital , Korea (South) DAYOUNG KIM
- - Korea University Ansan Hospital , Korea (South) MOIN HA
- - Soonchunhyang University Hospital Bucheon , Korea (South) SEONGHWAN BYUN
- - Osaka City General Hospital , Japan SHU MATSUSHITA
- - Chungbuk National University Hospital , Korea (South) MIHYEON PARK
- - Other , Korea (South) MINSU KIM
- - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
- - Seoul National University Hospital , Korea (South) SE WOO KIM
- - Seoul Veterans Hospital , Korea (South) JANG SEONG WON
- - , Japan HIROAKI ARAKAWA
- - Wuhan Union Hospital , China QIGUANG CHENG
- - Columbia asia refferal hospital,Bengaluru , India PRAVIN KUMAR M
- - TB centre kasaragod. , India rikhy krishnan
- - Chonnam National University Hospital , Korea (South) KIM SANG GYUN
- - Other , Korea (South) KYU-CHONG LEE
- - Kyoto University Hospital , Japan SATOSHI IKEDA
- - Chonbuk National University Hospital , Korea (South) MINJEE KIM
- - Toranomon Hospital , Japan KAORU SUMIDA
- - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
- - Chonnam National University Hospital , Korea (South) SEUNG WAN KANG
- - , Japan TOMOKI IMOKAWA
- - Chonbuk National University Hospital , Korea (South) YOUNG JU SONG
- - College of Medicine, CHA University , Korea (South) PARK JONG WON
- - , Japan YUKI HAYASHI
- - Chonnam National University Hwasun Hospital , Korea (South) WONGI JEONG
- - , Korea (South) WONJU HONG
- - Kyoto university , Japan AKIHIKO SAKATA
- - the first affiliatited hospital of nanjing medical univercity , China HAI XU
- - Kyemyung University Dongsan Hospital , Korea (South) DONG HYEON KIM
- - Jiangsu province hospital , China WANGJIAN ZHA
- ▶ Correct Answer as Differential Diagnosis : 1/97, 1.0%
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- - Yeungnam University Medical Center , Korea (South) CHOI SOOYOUNG
- ▶ Semi-Correct Answer : 1/97, 1.0%
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- - McGill University Health Center , Canada ALEXANDRE SEMIONOV
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