scholarly journals All that is Miliary is not tuberculosis

2021 ◽  
Vol 8 (3) ◽  
pp. 86-87
Author(s):  
Vijetha s. ◽  
Samanvitha V ◽  
Ramu M. ◽  
Satish chandra k. ◽  
Prasad CN
Keyword(s):  
Infectious Diseases ◽  
Pulmonary Metastasis ◽  
Fungal Infections ◽  
Lower Lobe ◽  
Left Lower Lobe ◽  
Pet Scan ◽  
Differential Diagnoses ◽  
Lung Mass ◽  
Ct Guided ◽  
Lung Cancers

Miliary pattern on radiographs are attributed always to tuberculosis even though the differential diagnoses of miliary pattern is very wide. This pattern is most commonly caused by infectious diseases and rarely by malignancies. Primary lung cancers presenting with miliary shadows is extremely rare. Here we report a case of 50-year old female, presenting with 15 days of symptoms and CXR PA view showing bilateral diffuse miliary nodules. HRCT Chest confirmed the miliary pattern and also showed a mass in left lower lobe. Microbiological tests for tuberculosis and fungal infections were negative. CECT Chest gave impression of left lower lobe suspected malignant lung mass with pulmonary metastasis. Malignancy was confirmed by CT guided FNAC as Adenocarcinoma lung. PET scan didnot reveal metastasis in other organs. CONCLUSION : Miliary pattern does not always indicate tuberculosis and other possibilities should be evaluated.

scholarly journals A case report of left lower lobe segmentectomy for pulmonary metastasis from retroperitoneal liposarcoma

2019 ◽  
Vol 61 ◽  
pp. 169-173
Author(s):  
Kazuhiro Yoshida ◽  
Masakazu Yoshida ◽  
Minoru Haisa ◽  
Takuro Yukawa ◽  
Yasumasa Monobe ◽  
...  
Keyword(s):  
Case Report ◽  
Pulmonary Metastasis ◽  
Lower Lobe ◽  
Left Lower Lobe ◽  
Retroperitoneal Liposarcoma

Syphilitic Pulmonary Inflammatory Pseudotumor: A Diagnostic Challenge

2020 ◽  
pp. 106689692092858
Author(s):  
Dhirendra Govender ◽  
Christopher Jackson ◽  
Dharshnee Chetty
Keyword(s):  
Nephrotic Syndrome ◽  
Inflammatory Pseudotumor ◽  
Treponema Pallidum ◽  
Lower Lobe ◽  
Secondary Syphilis ◽  
Left Lower Lobe ◽  
Lung Mass ◽  
Diagnostic Challenge ◽  
Benzathine Benzylpenicillin ◽  
Lymphoplasmacytic Infiltrate

A 46-year-old man presented with nonproductive cough and lower limb swelling. Chest radiograph showed a left lower lobe lung mass and multiple subpleural nodules. Other investigations revealed that he had nephrotic syndrome. Core biopsies of the left lower lobe lung mass showed features of inflammatory pseudotumor with endarteritis obliterans and a lymphoplasmacytic infiltrate. Immunohistochemical stain for Treponema pallidum was positive. Resolution of the lung mass and nephrotic syndrome was achieved after treatment with intramuscular benzathine benzylpenicillin. The differential diagnosis of pulmonary inflammatory pseudotumor, manifestations of pulmonary syphilis, and a literature review of secondary syphilis of the lung are discussed.

Woman With Chronic, Unproductive Cough and Left Lower Lobe Lung Mass

CHEST Journal ◽  
2004 ◽  
Vol 125 (3) ◽  
pp. 1148-1150
Author(s):  
Ronald F. Grossman
Keyword(s):  
Lower Lobe ◽  
Left Lower Lobe ◽  
Lung Mass

scholarly journals A Case of Lung Adenocarcinoma Originating from an Old Posttraumatic Scar in a Young Patient

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Fatima Ahmed ◽  
Hassaan Yasin ◽  
Hesham E. Mohamed
Keyword(s):  
Lung Adenocarcinoma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Left Lung ◽  
Lower Lobe ◽  
Left Lower Lobe ◽  
Pulmonary Contusion ◽  
Mediastinal Lymphadenopathy ◽  
Ct Guided ◽  
Ct Guided Biopsy

A relationship between lung scarring and cancer has been recognized for many decades but more evidence is needed to strengthen this association. A 34-year-old nonsmoker male with a history of left lower lobe lung scar secondary to a pulmonary contusion from a motor vehicle accident in 2012 was admitted with shortness of breath and cough. A computed tomography (CT) angiography of the chest demonstrated bilateral pulmonary emboli, left lower lobe mass, left lung septal thickening, and mediastinal lymphadenopathy. A CT-guided biopsy of the mass was performed, and pathology was consistent with lung adenocarcinoma. Staging work-up revealed a widely metastatic disease. The patient developed severe complications requiring hospitalization after the first cycle of chemotherapy and subsequently passed away. Lung scar carcinoma originates around peripheral scars resulting from a variety of infections, injuries, and lung diseases. It has poor prognosis because it metastasizes from relatively small lesions. Our case further endorses that lung scarring can potentially lead to the development of cancer. Furthermore, we want to highlight the need to conduct studies to determine if monitoring this patient population with periodic imaging can have a survival benefit.

scholarly journals Synchronous BALT Lymphoma and Squamous Cell Carcinoma of the Lung: Coincidence or Linkage?

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Anastasia Oikonomou ◽  
Emanuelle Astrinakis ◽  
Ioannis Kotsianidis ◽  
Vassiliki Kaloutsi ◽  
Vassileios Didilis ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Squamous Cell ◽  
Lower Lobe ◽  
Middle Lobe ◽  
Left Lower Lobe ◽  
Cell Lung Carcinoma ◽  
Ct Guided ◽  
Guided Biopsy ◽  
Ct Guided Biopsy ◽  
Balt Lymphoma

A 72-year-old man presented with weight loss, fever, and malaise. Chest radiograph and CT revealed two large ill-defined masses in middle and left lower lobes. CT-guided biopsy of left lower lobe mass disclosed bronchus-associated lymphoid tissue (BALT) lymphoma. Middle lobe mass was considered second deposit in contralateral lung. The patient received chemotherapy for BALT. Followup CT disclosed regression of left lower lobe mass and stability of middle-lobe mass and of right paratracheal lymph nodes. CT-guided biopsy of middle-lobe mass revealed squamous cell lung carcinoma. Surgical biopsy of right paratracheal lymph nodes revealed malignancy. Disease was staged T3, N2, and M0. Combined chemotherapy for lung cancer and BALT lymphoma was initiated.

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.

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