Second image from a CT one week after first one.
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Each post is a different clinical case. The intention is to discuss the cases in the comments.
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5 comments:
Nobody know?
No one try to discuss this case?
Multiple nodules (some with cavitation) with relation to vessels. The nodules in LB6 have "halo sign".
The patient has asthma (immune status??) so the probable Dx:
1) Fungal infection (Invasive aspergillosis) (No central bronchiectasis are seen for ABPA)
2) Septic emboli
3) Metastases (Head and neck)
VERY UNLIKELY/RARE:
4) Lymphomatoid granulomatosis
5) Laryngotracheal pappilomatosis (what's the trachea/larynx like?)
Other options:
6) Pulmonary infarcts
7) Wegener's
8) Rheumatoid nodules (no history given)
9) Bronchoalveolar Ca
10) Lymphoma (cavitation extremely rare)
Multiple nodules (some with cavitation) with relation to vessels. The nodules in LB6 have "halo sign".
The patient has asthma (immune status??) so the probable Dx:
1) Fungal infection (Invasive aspergillosis) (No central bronchiectasis are seen for ABPA)
2) Septic emboli
3) Metastases (Head and neck)
VERY UNLIKELY/RARE:
4) Lymphomatoid granulomatosis
5) Laryngotracheal pappilomatosis (what's the trachea/larynx like?)
Other options:
6) Pulmonary infarcts
7) Wegener's
8) Rheumatoid nodules (no history given)
9) Bronchoalveolar Ca
10) Lymphoma (cavitation extremely rare)
Very good diferencial! Congratulations!
The patient get better after aspergillosis treatment.
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