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RADIOLOGY QUIZ
Year : 2012  |  Volume : 29  |  Issue : 4  |  Page : 388-389  

Mother with daughters


1 Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital, Rohini, Delhi, India
2 Department of Pulmonary Medicine, Sharda Medical College and Hospital, Noida, Uttar Pradesh, India
3 Department of General and Laparoscopic Surgery, Jaipur Golden Hospital, Rohini, Delhi, India
4 Incharge Quality Control, Jaipur Golden Hospital, Rohini, Delhi, India

Date of Web Publication23-Oct-2012

Correspondence Address:
Rakesh k Chawla
Chawla Respiratory, Allergy, Sleep Disorders and Research Centre, 58-59/C-12/Sector-3, Rohini, Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.102843

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How to cite this article:
Chawla Rk, Madan A, Gupta S, Madoiya R, Chawla A, Chawla K. Mother with daughters. Lung India 2012;29:388-9

How to cite this URL:
Chawla Rk, Madan A, Gupta S, Madoiya R, Chawla A, Chawla K. Mother with daughters. Lung India [serial online] 2012 [cited 2019 Jun 17];29:388-9. Available from: http://www.lungindia.com/text.asp?2012/29/4/388/102843

A 29-year-old male presented to the outpatient department with complaints of cough, fever and coryza for the last 2 years. The patient was investigated and treated at various places for pneumonitis without any relief. The patient gave no history of any travel in the past and there was no history of contact with dogs, sheep or any other domestic or wild animals. Clinical examination was unremarkable, except few crepts in the right axilla. Chest radiograph showed an irregular cavity in the right mid and lower zones with a mass like-structure in the lower part, and he was provisionally diagnosed as a case of Aspergilloma [Figure 1]. Mantoux test was negative and the hemogram showed a TLC of 9,400/ mm 3 , neutrophils were 50%, lymphocytes 40%, eosinophils 9% and basophils 1%. Absolute eosinophil count was 850/mm 3 . Sputum was negative for AFB and gram's stain and fungal smear did not show any organisms. The skin test for aspergillus was negative. Total serum IgE was raised to 1250 IU/ml. Computed tomography (CT) of the chest was advised, which showed a cavity in the middle lobe with crescent sign positive, and the central mass was shifting its position with change in posture [Figure 2].
Figure 1: Skiagram chest

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Figure 2: Computed tomography scan of the chest

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   Question Top


Q 1: What is the diagnosis?



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   References Top

1.Joshi JM. Hydatidothorax. Lung India 2011;28:315-6.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Biswas D, Dey A, Biswas S, Chakraborty M. It's easy to miss complicated hydatid cyst of lung. Lung India 2010;27:164-6.  Back to cited text no. 2
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3.Sarkar SK, Kumar V, Sharma SD, Bhatnagar M, Khandelwal PP. Crescent sign in pulmonary hydatid cyst. Lung India 1988;6:155-6.  Back to cited text no. 3
  Medknow Journal  
4.Flisser A. Larval cestodes. In: Collier L, Balows A, Sussman M, editors. Topley and Wilson's microbiology and microbial infections. Parasitology. 9 th ed. Vol. 5. New York, NY: Oxford University Press; 1998. p. 539-60.  Back to cited text no. 4
    
5.Ulkü R, Yilmaz HG, Onat S, Ozçelik C. Surgical treatment of pulmonary hydatid cysts: Report of 139 cases. Int Surg 2006;91:77-81.  Back to cited text no. 5
    
6.Sharif A, Ansarin K, Rashidi F, Taghizadieh A. Bronchoscopic diagnosis and removal of a ruptured hydatid cyst. J Bronchology Interv Pulmonol 2011;18:362-4.  Back to cited text no. 6
    


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  [Figure 1], [Figure 2], [Figure 3]



 

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