Partial diaphragmatic eventration and liver herniation

Introduction. Rapidly vanishing lung pseudotumor (phantom tumor) refers to the transient well-demarcated accumulation of pleural fluid in the interlobar pulmonary fissures. Most frequently their appearance is associated with congestive heart failure, but also other disorders like hypoalbuminemia, renal insufficiency or pleuritis. Its rapid disappearance in response to the treatment of the underlying disorder is a classical feature of this clinical entity. Case report. A 47-yearold woman, chronic smoker with symptoms of shortness of breath, orthopnea, chills, cough, weakness and the temperature of 39.2?C was admitted to our hospital. A posteroanterior chest X-ray revealed cardiomegaly with the cardiothoracic ratio of > 0.5, blunting of both costophrenic angles and an adjacent 6 x 5 cm well-defined, rounded opacity in the right interlobar fissure. Transthoracic 2-dimensional echocardiography demonstrated left ventricular hyperthrophy with a systolic ejection fraction of 25% and moderate mitral regurgitation. The patient?s symptoms resolved rapidly after diuresis, and repeated chest X-ray four days later showed that the right lung opacity and pleural effusions had vanished. Conclusion. The presented case underlines the importance of the possibility of vanishing lung tumor in patients with left ventricular failure and a sharp oval lung mass on the chest X-ray. This is the way to avoid incorrect interpretation of this finding causing additional, unnecessary, costly or invasive imaging, interventions and drugs.

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CLINICAL STUDY OF PAIN IN RIGHT ILIAC FOSSA

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i8.1365 ◽

2020 ◽

Vol 4 (8) ◽

Author(s):

Saurabh Kothari ◽

Manjula Kothari ◽

Shree Mohan Joshi ◽

Kalp Shandilya

Keyword(s):

Iliac Fossa ◽

Signs And Symptoms ◽

Clinical History ◽

X Ray ◽

Pain Abdomen ◽

Detailed Clinical History ◽

Right Iliac Fossa Pain ◽

Chest X Ray ◽

The Right ◽

Appendicular Mass

Background: A mass in the right iliac fossa is a common diagnostic problem encountered in clinical practice, requiring skill in diagnosis. Methods: 100 patients with signs and symptoms of right iliac fossa mass admitted in Hospital were identified and were studied by taking detailed clinical history, physical examination and were subjected to various investigations like x ray erect abdomen, chest x-ray, contrast x-ray . Result: In this study of out of 100 cases, 65.00% of cases were related to appendicular pathology either in the form of appendicular mass or appendicular abscess. There were 12.00% cases of ileocaecal tuberculosis. Conclusion: Appendicular lump remains the most common cause for right iliac fossa pain. Ileocaecal tuberculosis is one of the most important differential diagnoses for pain abdomen. Keywords: Appendicular Mass, Ileocaecal Tuberculosis, Carcinoma Caecum, Right Iliac Fossa Mass.

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Subcutaneous Emphysema in Pregnancy

Journal of Nepal Medical Association ◽

10.31729/jnma.39 ◽

2011 ◽

Vol 51 (183) ◽

Author(s):

A Shrestha ◽

S Acharya

Keyword(s):

Subcutaneous Emphysema ◽

Late Pregnancy ◽

X Ray ◽

Close Observation ◽

The Face ◽

Normal Chest ◽

Chest X Ray ◽

Keywords Pregnancy ◽

Systemic Examination ◽

The Right

Spontaneous pneumomediastinum and subcutaneous emphysema are rare complications of labor, especially in the late pregnancy period, but they are usually self-limiting. Management includes avoidance of exacerbative factors and close observation with supportive treatment. A 19-year-old primi gravida at 36 weeks pregnancy presented with swelling over the right side of the face, neck and chest. Her general examination was normal. Systemic examination revealed swelling with palpatory crepitation over the right side of chest, neck and face, and other examination findings were normal. Chest X-ray revealed subcutaneous emphysema without pneumothorax. The patient left hospital against medical advice. Keywords: Pregnancy; subcutaneous emphysema; pneumomediastinum.

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Radiographic aspects of acute community-acquired bacterial pneumonia and pulmonary tuberculosis in children

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20211931 ◽

2021 ◽

Author(s):

Rivo Lova Herilanto Rakotomalala ◽

Harimino Mireille Rakotondravelo ◽

Andrianina Harivelo Ranivoson ◽

Annick Lalaina Robinson

Keyword(s):

Community Acquired Pneumonia ◽

University Hospital ◽

Radiographic Images ◽

X Ray ◽

Male Predominance ◽

Mother And Child ◽

Chest X Ray ◽

The Right ◽

The University ◽

Tuberculosis In Children

Background: The etiological diagnosis of pneumonia is often difficult because of the impossibility of microbiological confirmation most of the time. Therefore, chest X-ray is still essential for a positive diagnosis and etiological orientation. The main objective of our study was to describe the radiographic aspects of acute community-acquired pneumonia and tubercular pneumonia in children.Methods: This was a descriptive retrospective study conducted at the university hospital mother and child of Tsaralalana from January 1st to July 31st, 2017.Results: Sixty-nine cases of pneumonia were included, including 13 cases of TB pneumonia and 46 cases of acute community-acquired pneumonia. The average age was 36.68 months with a male predominance. Clinically, respiratory functional signs predominated in both cases. Alteration in general condition was mainly observed in tubercular pneumonia (26.08%). Alveolar syndromes were present in 43.47% of TB pneumonias and 36.94% of acute community-acquired pneumonia. With regard to the radiographic images, alveolar involvement was common to both types of pneumonia; the nodular image was present in 8.69% of the tubercular pneumonias and 2.17% of the acute community-acquired pneumonia; the cavity image was present only in the tubercular pneumonia (p=0.04); the right-sided location predominated in both cases.Conclusions: X-ray images were common to both TB pneumonia and acute community-acquired pneumonia; some images were specific to TB pneumonia. However, the etiologic orientation of pneumonia is based on a combination of epidemiologic, clinical, and radiographic evidence.

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Complete heart block as a herald sign for cardiac lymphoma

BMJ Case Reports ◽

10.1136/bcr-2020-239356 ◽

2021 ◽

Vol 14 (1) ◽

pp. e239356

Author(s):

Holly P Morgan ◽

Muram El-Nayir ◽

Christopher Jenkins ◽

Philip G Campbell

Keyword(s):

Ejection Fraction ◽

Heart Block ◽

Complete Heart Block ◽

B Cell Lymphoma ◽

Left Ventricular ◽

Chop Chemotherapy ◽

Severe Left Ventricular Dysfunction ◽

X Ray ◽

Chest X Ray ◽

The Right

A previously well 48-year-old man presented with presyncope and was found to be in complete heart block. Blood tests, echocardiography and coronary angiography were reported as normal, and a dual chamber permanent pacemaker was inserted. Six months later he re-presented with breathlessness. His chest X-ray showed cardiomegaly and echocardiography revealed a 4.4 cm pericardial effusion. A CT thorax revealed a mass originating from the intra-atrial septum, extending into the right atrium and ventricle. There were multiple pulmonary lesions suspected to be metastases. Histology demonstrated high-grade B-cell lymphoma. He was treated with eight cycles of R-CHOP chemotherapy and showed good radiological and clinical improvement. Post-treatment echocardiography found severe left ventricular dysfunction with an ejection fraction of <20%. Heart failure medical therapy was optimised and the pacemaker was upgraded to a resynchronisation device. A repeat scan 6 months post device upgrade showed an improvement in ejection fraction to 45%–50%.

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Pericardial masses and congenital abnormalities

ESC CardioMed ◽

10.1093/med/9780198784906.003.0380 ◽

2018 ◽

pp. 1582-1584

Author(s):

Angelos G. Rigopoulos ◽

Hubert Seggewiss

Keyword(s):

Computed Tomography ◽

Surgical Management ◽

Congenital Abnormalities ◽

Benign Lesions ◽

Chest Computed Tomography ◽

X Ray ◽

Wall Calcification ◽

Chest X Ray ◽

Pericardial Cysts ◽

The Right

Pericardial masses include cysts, pericardial tumours, and pericardial haematomas. Pericardial cysts are benign lesions commonly located in the right cardiophrenic angle that remain typically asymptomatic and are incidentally found in chest X-ray or chest computed tomography but might cause pressure symptoms or become infected, thus requiring surgical management. Hydatid cysts due to echinococcosis are the most common acquired pericardial cysts, characterized by wall calcification, and indicate surgery.

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Recurrent Empyema Thoracic Secondary to Pulmonary Nocardiosis in Immunocompetent Patients

Case Reports in Pulmonology ◽

10.1155/2020/8840920 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Samshol Sukahri ◽

Lily Diana Zainudin ◽

Mohd Firdaus Hadi ◽

Mohd Al-Baqlish Mohd Firdaus ◽

Muhammad Imran Abdul Hafidz

Keyword(s):

Vital Signs ◽

C Reactive Protein ◽

Nocardia Species ◽

X Ray ◽

Reactive Protein ◽

Pulmonary Nocardiosis ◽

Erythrocyte Sedimentation ◽

Chest X Ray ◽

The Right ◽

Tomography Scan

Pulmonary nocardiosis is a rare disorder that mainly affects immune-compromised patients. We report a 37-year-old male who presented with persistent fever associated with productive cough. During this course of therapy, he had recurrent admissions for empyema thoracic. Clinically, his vital signs were normal. Blood investigations show leukocytosis with a significantly raised erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Sputum acid-fast bacilli (AFB) was scanty 1+ and sputum mycobacterium culture was negative. Chest X-ray (CXR) showed consolidative changes with mild to moderate pleural effusion on the right side. Skin biopsy was taken and showed Paecilomyces species. A computed tomography scan (CT thorax) was performed and revealed a multiloculated collection within the right hemithorax with a split pleura sign. Decortications were performed and tissue culture and sensitivity (C+S) growth of Nocardia species. And it is sensitive to sulfamethoxazole-trimethoprim and completed treatment for 4 months. This case highlights that pulmonary nocardiosis should be kept in mind in also immune-competent patients, especially in suspected cases of tuberculosis not responding to antitubercular therapy.

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Hydropneumothorax Revealing a Pneumoblastoma in Children

Case Reports in Pediatrics ◽

10.1155/2020/8879661 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

Karima El Fakiri ◽

Ghizlane Draiss ◽

Noureddine Rada ◽

Mohammed Bouskraoui ◽

Abderrachid Hamdaoui ◽

...

Keyword(s):

Outer Segment ◽

Middle Lobe ◽

High Grade ◽

Cystic Lesions ◽

Type Ii ◽

Pathological Study ◽

X Ray ◽

Thoracic Drainage ◽

Chest X Ray ◽

The Right

Pneumoblastoma is a rare primary childhood tumor. We report the observation of an infant aged 2 years and 8 months who presented with dry cough and dyspnea. The physical examination found mixed pleural effusion syndrome on the right. The chest X-ray revealed a right pneumothorax. Biology has shown leukocytosis at 16,000/mm3. The CT scan revealed parenchymal air cystic lesions affecting the outer segment of the middle lobe mimicking a pulmonary malformation. Thoracic drainage brought back 100 ml of the fluid. Two months later, when a pyopneumothorax appeared, a medium lobectomy was performed. Pathological study specimen showed a high-grade type II pneumoblastoma The extension assessment identified a secondary hepatic location. Chemotherapy has been indicated. This observation illustrates the diagnosis challenge of pneumoblastoma in children.

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Pulmonary Azygous Lobe-An Anatomical Variant

Kathmandu University Medical Journal ◽

10.3126/kumj.v12i2.13665 ◽

2015 ◽

Vol 12 (2) ◽

pp. 151-152 ◽

Cited By ~ 2

Author(s):

W Seiber ◽

N Karcara ◽

P Pant

Keyword(s):

Medical Journal ◽

Clinical Significance ◽

Anatomical Variant ◽

X Ray ◽

Accessory Lobe ◽

Anatomical Basis ◽

Deep Groove ◽

Chest X Ray ◽

The Common ◽

The Right

Pulmonary azygous lobe is one of the common lung malformations. There is only few article about azygous lobe. Its a small accessory lobe sometimes found on the upper part of the right lung, separated from the rest of the upper lobe by a deep groove lodging the ayzygous vein. This reports describes the presence of azygous lobe, a rare anatomical variant, encountered during chest x-ray discussion. We describe here the anatomical basis and the clinical significance of azygous lobe.Kathmandu University Medical Journal Vol.12(2) 2014: 151-152

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