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Granuloma
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MedPix Image - MedPix Case
Affiliation: Uniformed Services University
ABSTRACT
Diagnosis: Granuloma History: 10 y.o. girl with "chronic congestion" presented to clinic with new onset of cough and sore throat. The patient also had complained of 6 months of intermittent headaches. The patient denied any sputum production or fevers. Findings: There is a left upper lobe pulmonary nodule which measures approximately 1.1 cm in diameter. There is central calcification within this lesion, which has become slightly more dense over the year in between CT. The borders are well demarcated. Ddx: Granuloma -TB -Histoplasmosis Hamartoma Infectious - Pneumocystis carinii -Aspergilloma Pulmonary metastatic disease Primary pulmonary malignancy Dxhow: Stability of lesion on follow up Exam: Head: cloudy nasal discharge Lungs: scattered rhonchi, no crackles, no wheezing Lymph: No cervical lymphadenopathy LABS: PPD negative Histoplasma negative ESR – 12 WBC 9.3 (w/ NL distribution) No MeSH data available. |
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View Article: MedPix Image - MedPix Case
Affiliation: Uniformed Services University
Diagnosis: Granuloma
History: 10 y.o. girl with "chronic congestion" presented to clinic with new onset of cough and sore throat. The patient also had complained of 6 months of intermittent headaches. The patient denied any sputum production or fevers.
Findings: There is a left upper lobe pulmonary nodule which measures approximately 1.1 cm in diameter. There is central calcification within this lesion, which has become slightly more dense over the year in between CT. The borders are well demarcated.
Ddx: Granuloma -TB -Histoplasmosis Hamartoma Infectious - Pneumocystis carinii -Aspergilloma Pulmonary metastatic disease Primary pulmonary malignancy
Dxhow: Stability of lesion on follow up
Exam: Head: cloudy nasal discharge Lungs: scattered rhonchi, no crackles, no wheezing Lymph: No cervical lymphadenopathy LABS: PPD negative Histoplasma negative ESR – 12 WBC 9.3 (w/ NL distribution)
No MeSH data available.
