scholarly journals A RARE AND INTERESTING PRESENTATION OF LUNG TUMOUR

2020 ◽  
pp. 1-2
Author(s):  
Sai Krishna Bendi ◽  
Raju Iyer ◽  
L. Nageswara Rao ◽  
Satya Narayana
Keyword(s):  
Lower Lobe ◽  
Posterior Mediastinum ◽  
Left Lower Lobe ◽  
Lung Tumour ◽  
Direct Inguinal Hernia ◽  
Left Posterior ◽  
Chest X Ray ◽  
Pulmonary Hamartoma ◽  
Groin Swelling ◽  
Stony Hard

A 72 year old male presented with a chief complaint of groin swelling and was clinically diagnosed as direct inguinal hernia and was planned for hernioplasty. Patient had no respiratory symptoms like cough or haemoptysis. Incidentally it was found that patient was having mass lesion on the left side in chest x ray and was referred to CTVS department. The patient however had no complaints pertaining to the mass. He underwent CECT and was found to have ?peripheral bronchogenic tumour in left posterior mediastinum. Later left posterolateral thoracotomy was done and intra operatively mass was found originating from left lower lobe of lung and left lower lobectomy was done. Mass was around 10x15x10 cms, stony hard in consistency within the left lower lobe. The entire specimen was sent for HPE. Post operatively the patient was stable and regularly followed up. HPE of the mass was pulmonary hamartoma.

scholarly journals Dramatic and early complete resolution of lobar collapse in young patient of bronchial asthma: a case report from radiologist perspective

2018 ◽  
Vol 8 (4) ◽  
pp. 58-60
Author(s):  
Pankaj Nepal ◽  
Devendra Kumar ◽  
Neeta Ghimire
Keyword(s):  
Bronchial Asthma ◽  
Complete Resolution ◽  
Lower Lobe ◽  
Interesting Case ◽  
Left Lower Lobe ◽  
Lung Collapse ◽  
Lobe Bronchus ◽  
Mediastinal Shift ◽  
History Of ◽  
Chest X Ray

To A 30 year old female with known history of bronchial asthma since five years presented to emergency depart­ment with acute shortness of breath and left sided pleuritic chest pain since one day. Imaging with initial chest x-ray reveal left lower lobe lung collapse with ipsilateral tracheo-mediastinal shift. On CT scan complete cutoff of the left lower lobe bronchus was seen. With conservative management including inhaled bronchodilators and intravenous corticosteroids and physiotherapy treatment; dramatic and complete resolution of lobar collapse seen within period of 4 days without any residual changes. Such dramatic changes have never been perceived in our radiology experience and literature review, which we report as interesting case.

scholarly journals Incidental ancient schwannoma of the posterior mediastinum in a young male: a rare scenario

2019 ◽  
Vol 12 (5) ◽  
pp. e227497 ◽  
Author(s):  
Gouthaman Shanmugasundaram ◽  
Periyasamy Thangavel ◽  
Balasubramanian Venkataraman ◽  
Gunabooshanam Barathi
Keyword(s):  
Mediastinal Mass ◽  
Young Male ◽  
Posterior Mediastinum ◽  
Intensity Lesion ◽  
Left Posterior ◽  
Distinctive Type ◽  
Chest X Ray ◽  
Spinal Region ◽  
Disease Free

Ancient schwannoma is a distinctive type of schwannoma occurring mostly in the retroperitoneum. The presentation in the posterior mediastinum is rare. The term ‘ancient’ represents a group of neurogenic tumours showing degenerative changes with marked nuclear atypia. A 26-year-old man was incidentally detected to have an upper mediastinal mass lesion in the chest X-ray. MRI chest revealed a mixed signal intensity lesion in the left side upper para spinal region of the posterior mediastinum. The patient underwent left posterior thoracotomy and excision of the mass was done. Postoperative period was uneventful. The histopathological feature was typical of Ancient schwannoma. The patient is on regular follow-up and disease free until.

scholarly journals Why My Experience as a Patient Led Me to Join Osler’s Alliance

2020 ◽  
Vol 21 (6) ◽  
pp. 138-140
Author(s):  
Richard Robbins ◽  
Keyword(s):  
Lower Lobe ◽  
Empirical Therapy ◽  
Left Lower Lobe ◽  
Valley Fever ◽  
Infectious Process ◽  
X Ray ◽  
Multiple Tests ◽  
Serologic Tests ◽  
Chest X Ray

No abstract available. Article truncated after 150 words. There are a number of books and articles written by doctors that relate their own experience as patients. Count this as another although I promise it will not be nearly as entertaining as “The House of God”. Over a month ago I became short of breath and a chest x-ray revealed left lower lobe consolidation. Despite lack of fever, it seemed that an infectious process was most likely, and when multiple tests for COVID-19 were negative, it was felt by my pulmonary physician to be most likely coccidioidomycosis despite a negative cocci serology. After beginning on empirical therapy with fluconazole for nearly a month, I am feeling better. Most of us know that there is considerable laboratory to laboratory variation in serologic tests for Valley Fever (1). However, when my initial cocci serology was negative, efforts to send it a good reference lab such as Pappagianis’ Lab at UC Davis …

scholarly journals Pneumonectomy is necessary following delayed detection of pulmonary artery compromise

2019 ◽  
Vol 30 (1) ◽  
pp. 154-155
Author(s):  
Ambria S Moten ◽  
Abbas E Abbas
Keyword(s):  
Pulmonary Artery ◽  
Blood Supply ◽  
Lung Tissue ◽  
Collateral Circulation ◽  
Lower Lobe ◽  
Left Lower Lobe ◽  
Completion Pneumonectomy

Abstract It has been previously suggested that lung tissue remains viable without blood supply from the pulmonary artery (PA). However, our experience demonstrates otherwise. We present 2 cases of accidental left lower lobe PA occlusion during upper lobectomy causing ischaemic changes to the remaining lung tissue. Both patients became septic secondary to necrosis of infarcted lung and required completion pneumonectomy. Development of collateral circulation to bypass the occluded PA may occur but is often insufficient to support the affected lung tissue. Unless the patient is medically unfit, resection of the ischaemic lung should be undertaken.

scholarly journals VARIATIONS IN THE BRONCHOVASCULAR PATTERNS OF THE LEFT LOWER LOBE OF FIFTY LUNGS

1953 ◽  
Vol 26 (6) ◽  
pp. 633-653 ◽  
Author(s):  
Martha Pitel ◽  
Edward A. Boyden
Keyword(s):  
Lower Lobe ◽  
Left Lower Lobe

Unexplained recurrent left lower lobe pneumonia, haematemesis and splenomegaly in a 32‐year‐old gentleman

2021 ◽  
Author(s):  
Cynthuja Thilakanathan ◽  
Matthew Hall ◽  
Wassim Rahman ◽  
Mark Magdy ◽  
John Jorgensen
Keyword(s):  
Lower Lobe ◽  
Left Lower Lobe

scholarly journals A 56-Year-Old Man With Chronic Cough, Hemoptysis, and a Left Lower Lobe Infiltrate

CHEST Journal ◽  
2021 ◽  
Vol 159 (1) ◽  
pp. e53-e56
Author(s):  
Alexandra Miller ◽  
Janelle Wenstrup ◽  
Sanja Antic ◽  
Chirayu Shah ◽  
Robert J. Lentz ◽  
...  
Keyword(s):  
Chronic Cough ◽  
Lower Lobe ◽  
Left Lower Lobe

Factors affecting perfusion distribution in canine oleic acid pulmonary edema

1986 ◽  
Vol 60 (5) ◽  
pp. 1498-1503 ◽  
Author(s):  
J. Ali ◽  
L. D. Wood
Keyword(s):  
Oleic Acid ◽  
Pulmonary Edema ◽  
Venous Blood ◽  
Lower Lobe ◽  
Acid Group ◽  
Left Lower Lobe ◽  
Base Line ◽  
Positive End Expiratory Pressure ◽  
Vascular Effects ◽  
Factors Affecting

Factors affecting perfusion distribution in oleic acid pulmonary edema were examined in 28 anesthetized open-chest dogs. Sixteen had unilobar oleic acid edema produced by left lower lobe pulmonary artery infusion of 0.03 ml/kg of oleic acid, and 12 had the same amount of edema produced by left lower lobe endobronchial instillation of hypotonic plasma. Lobar perfusion (determined from flow probes) and lobar shunt (determined from mixed venous and lobar venous blood) were measured at base line, 1.5 h after edema, and 10 min after 10 cmH2O positive end-expiratory pressure (PEEP). Fourteen dogs (8 oleic acid, 6 plasma) received sodium nitroprusside (11.72 +/- 7.10 micrograms X kg-1 X min-1). Total and lobar shunts increased to the same extent in all animals. Lobar perfusion decreased by 49.8 +/- 4.8% without nitroprusside and 34.0 +/- 3.6% with nitroprusside in the oleic acid group, corresponding values being 40.3 +/- 0.8% and 26.4 +/- 1.7% in the hypotonic plasma group. PEEP returned perfusion and shunt to base line. In oleic acid edema, most of the decreased perfusion results from mechanical effects of the edema, a smaller fraction results from other vascular effects of the oleic acid, and approximately 30% is reversible by nitroprusside. PEEP normalizes the perfusion distribution.

scholarly journals Evaluation of poor prognostic factors of respiratory related death in microscopic polyangiitis complicated by interstitial lung disease

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Shogo Matsuda ◽  
Takuya Kotani ◽  
Takayasu Suzuka ◽  
Takao Kiboshi ◽  
Keisuke Fukui ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Clinical Laboratory ◽  
Microscopic Polyangiitis ◽  
Survival Rates ◽  
Lower Lobe ◽  
Left Lower Lobe ◽  
Fibrosis Score ◽  
High Resolution Computed Tomography

AbstractThe prognosis of microscopic polyangiitis (MPA) with interstitial lung disease (ILD) is significantly worse than that of MPA without ILD. However, the clinical characteristics in MPA-ILD, especially poor prognostic factors, are not elucidated. We evaluated demographic, clinical, laboratory, and radiological findings, treatments, and outcomes of 80 patients with MPA, and investigated prognostic factors of respiratory-related death in patients with myeloperoxidase (MPO)-anti-neutrophil cytoplasmic antibody (ANCA) positive MPA-ILD. Ground-glass opacity and fibrosis were evaluated as scores on high-resolution computed tomography (HRCT). The presence of ILD was consistent with a high risk of respiratory-related death (hazard ratio, 4.8; P = 0.04). Multivariable logistic regression analyses using propensity scoring showed right or left lower lobe fibrosis score to be significantly associated with respiratory-related death (P = 0.0005 and 0.0045, respectively). A right or left lower lobe fibrosis score ≥ 2, indicating the presence of honeycombing at 1 cm above the diaphragm, was determined to be the best cut-off value indicating a poor prognosis. The 5-year survival rate was significantly lower in patients with right or left lower lobe fibrosis score ≥ 2 (survival rates: 37% and 19%, respectively) than those with a score < 2 (71% and 68%, respectively) (P = 0.002 and 0.0007, respectively). These findings suggest that the presence of honeycomb lesions in bilateral lower lobes on chest HRCT was associated with respiratory-related death in patients with MPO-ANCA positive MPA-ILD.

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