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Pott's Disease

Smirniotopoulos, M.D. JGSM - MedPix (2014)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pott's Disease

History: A 25 y.o. man presents with five days of fever and right-sided pleuritic chest pain. PMH: A positive PPD test in 1998 upon returning home from duty aboard the USS ----. Chest x-ray at that time was negative and the patient received no further treatment. After an MVC earlier in 1999 he sustained right sided chest trauma, but recovered fully. He stated he was in good health until August 1999, while aboard the USS ---- when he presented to Sick Call.

Findings: Mid thoracic paraspinal mass

Ddx: Lymphoma Paraspinal Abscess Metastasis Neuroblastoma (in a child)

Dxhow: Microbiology and culture

Exam: A chest x-ray revealed a RLL effusion and RLL consolidation; he was diagnosed with pneumonia and treated with azithromycin and recovered. He stated he had a negative PPD in September 1999.

No MeSH data available.


The CXR shows mediastinal widening (white outlines) at the level of T6-T8, suggestive of a mass.  The lung fields are clear.  Vascular markings are visible, but these are normal.  On lateral view, there is evidence of vertebral destruction in the classic anterior wedge formation with intervertebral disk involvement.
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MPX1925_synpic59876: The CXR shows mediastinal widening (white outlines) at the level of T6-T8, suggestive of a mass. The lung fields are clear. Vascular markings are visible, but these are normal. On lateral view, there is evidence of vertebral destruction in the classic anterior wedge formation with intervertebral disk involvement.


Pott's Disease

Smirniotopoulos, M.D. JGSM - MedPix (2014)

The CXR shows mediastinal widening (white outlines) at the level of T6-T8, suggestive of a mass.  The lung fields are clear.  Vascular markings are visible, but these are normal.  On lateral view, there is evidence of vertebral destruction in the classic anterior wedge formation with intervertebral disk involvement.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1925&req=5

MPX1925_synpic59876: The CXR shows mediastinal widening (white outlines) at the level of T6-T8, suggestive of a mass. The lung fields are clear. Vascular markings are visible, but these are normal. On lateral view, there is evidence of vertebral destruction in the classic anterior wedge formation with intervertebral disk involvement.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pott's Disease

History: A 25 y.o. man presents with five days of fever and right-sided pleuritic chest pain. PMH: A positive PPD test in 1998 upon returning home from duty aboard the USS ----. Chest x-ray at that time was negative and the patient received no further treatment. After an MVC earlier in 1999 he sustained right sided chest trauma, but recovered fully. He stated he was in good health until August 1999, while aboard the USS ---- when he presented to Sick Call.

Findings: Mid thoracic paraspinal mass

Ddx: Lymphoma Paraspinal Abscess Metastasis Neuroblastoma (in a child)

Dxhow: Microbiology and culture

Exam: A chest x-ray revealed a RLL effusion and RLL consolidation; he was diagnosed with pneumonia and treated with azithromycin and recovered. He stated he had a negative PPD in September 1999.

No MeSH data available.