Friday, April 07, 2006

Radiology Friday. 20 year old female

20 year old presents with cough. What's the abnormality and what's the diagnosis? (Hint: it is not the calcified granuloma that is circled, that would be too easy.)


Need a hint? click here.

Click hint #2.

Click here for one last hint.

Final diagnosis to be posted Monday.

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4 comments:

  1. Mike LMon Apr 10, 09:45:00 AM

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  2. Mike LMon Apr 10, 09:47:00 AM

    L Mainstem endobronchial lesion... did you see this originally on the CXR. If so, wow! Credit to you and your radiologist.

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  3. BaleeiroMon Apr 10, 02:21:00 PM

    I'm with ML: easy to spot it on the CT but I would probably have missed it on the CXR.
    What did the bronch show?

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  4. JenningsTue Apr 11, 01:15:00 PM

    Bronch showed an endobronchial lesion well demarcated with nice smooth borders.
    path showed a neoplasm arranged in a nesting and trabecular pattern and the immunohistochemical stains were positive for synaptophysin and chromogranin.
    FINAL DIAGNOSIS: CARCINOID TUMOR.

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