22 yrs old female presented with dry cough dyspnea since last one month, not asso with fever. spo2 92%, HR 120/min. not possible further evaluation due to financial constraints. (adv HRCT thorax ) plz comment on cxray, and possible DDs. ( I shall update CT thorax if done)
Thanks everyone for your comments. CT thorax repot is updated. Scan films could not get available. Possibly lymphoma. Less likely germ cell tumor,thymoma.
X -ray chest suggest large size hydatid cysts. Needs further investigations and evaluation to conclude diagnosis and line of treatment. Multivitamins and antioxidants orally. Maintain nutrition hydration and hygiene. Regular monitoring and periodical evaluation required. Reassurance and councelling required.
Thanks everyone for your comments. CT thorax repot is updated. Scan films could not get available. Possibly lymphoma. Less likely germ cell tumor,thymoma.
Well defined large mediastinal or pulmonary masses outpouching bilaterally... Differentials in a young patient would include congenital cysts like neuroenteric, lymphomas, thymoma, parasitic cysts The picture will be clearer with cect chest
Multiple pulmonary hydatid cysts. Adv- HRCT thorax.
Most likely mediastinal growth may even be mediastinal hydatid cyst
Most likely mass originating from chest wall . See 2nd, 3rd and 4th anterior ribs somewhat abnormal indicating huge mass originating from chest wall. Most likely Ewing sarcoma or Askin tumor. Advise CECT
Mediastinal hydated cyst Need further evaluation Get HRCT
It is huge mass urgent hrct with contrast pet scan at municipal centre Rajiv Gandhi or Pradhan mantri yojna is their where free facility of diagnosis
Huge cystic opacities bilateral r/o hydatid cyst
PULMONARY HYDATID. CYSTS ADVISABLE... HRCT.... SCANNING.. THORAX
Cases that would interest you
- Login to View the image
Pathologist find this on histological section.What is the diagnosis A.Thymoma B.Papillary carcinoma of the thyroid C.Hodgkins lymphoma D.Kaposi sarcoma E.Carcinoma of the parathyroid gland
Prachi Saluja1 Like18 Answers - Login to View the image
11 year old boy presented with a large lt sided cervical swelling with facial congestion for 3 months. No other associated symptoms. On examination, the swelling is soft, oval, measuring 18*15 cm, on the lot side of the neck, extending to the mediastinum, causing tracheal shift to the right. No axillary or inguinal lymph node enlargement. No hepatosplenomegaly. All blood investigations done 3 months ago were done and showed nothing abnormal. Ultrasound shows enlarged cervical lymph nodes. X-ray as shown above. Patient was admitted for further assessment. What is your plan?
Dr. Shital M7 Likes72 Answers - Login to View the image
32 yrs male Presented with muscle weakness. Excised mediastinal mass of size 6x4 cm. Greyish tan cut surface. Sections from the mass for your views please.
Dr. Neelkanth Potdar0 Like8 Answers - Login to View the image
A 15yrs boy having chest pain on front site for one yr. Now for one month he feeling significant penetrating pain on back of chest and change of voice. no h/o fever cough.breathlessness. mammogram ,sputum for AFB normal He is tobacco chewed(mithi sopari). possible diagnosis? CTA scan given.
Dr. Farooq Mohd2 Likes8 Answers - Login to View the image
45F with intermittent fever and wt loss. T4 mildly elevated. FNAC showing chronic non specific reactive lymphadenitis. kindly suggest DD & Rx
Dr. Ravikanth Moka5 Likes33 Answers
3 Likes