Caceres’ Corner Case 127 (Update: Solution)

ESR_2016_Blog-CaceresCorner-127

Dear Friends,

Dr Pepe and I wish you a very happy New Year. To begin 2016 we are showing a warm-up case of a 62-year-old man with cough, dyspnoea and moderate fever of one month duration. Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.

Diagnosis:
1. Miliary TB
2. Sarcoid
3. Histoplasmosis
4. None of the above


CT1

CT2 copia

Click here for the answer to case #127

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    04
    Jan 2016
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    DISCUSSION 7 Comments

    7 Responses to : Caceres’ Corner Case 127 (Update: Solution)

    1. Pio says:

      centrilobular pattern of nodules, with ground glass attenuation. I chose number 4, my type is extrinsic alveolitis or maybe RBILD

    2. gaborini says:

      hypersensitive pneumonitis

    3. Andy says:

      I think, none of the above ..

    4. Vilma says:

      ill-defined nodules in centrilobular distribution, air trapping and diffuse groundglass opacities – hypersensitive pneumonitis.

    5. genchi Bari Italia says:

      …patologia diffusa a patter micro nodulare : tali micro noduli sono uniformemente diffusi, ” indifferenti” alla pleura, a non elevata densità’ e margini ” flou” . Non adenopatie ilo- mediastiniche….si esclude pertanto la tbc miliare, la sarcodiosi, le metastasi….non capisco l’istoplasmosi….dovrebbe trattarsi di una LIP( linfocitaria interstiziopatia polmonare)….. Come risponde al cortisone?…..Buon anno , mitico professore !!!!!

    6. Fiachra Moloney says:

      4.Faint ill-defined centrilobular nodularity, ground-glass opacities, air trapping, mid/lower zone predominance
      Subacute hypersensitivity pneumonitis.

    7. Yvette says:

      Centrilobular nodules, ground glass opacification, air trapping , no hilar lymphadenopathy -pattern atypical for sarcoidosis. Miliary tb – patient usually in very poor clinical condition. Pulmonary histiocytosis early stage – patient is rather too old. The most probable is hypersensitivity pneumonitis subacute phase. We don’t have any clinical information about exsposition to alergic factors.

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