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Granuloma

Saunders KAS - MedPix (2008)

View Article: 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.


Rounded density in the left upper chest projecting between anterior ribs #1 and #2.
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MPX1793_synpic60964: Rounded density in the left upper chest projecting between anterior ribs #1 and #2.


Granuloma

Saunders KAS - MedPix (2008)

Rounded density in the left upper chest projecting between anterior ribs #1 and #2.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1793&req=5

MPX1793_synpic60964: Rounded density in the left upper chest projecting between anterior ribs #1 and #2.

View Article: 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.