Monday, January 16, 2012

Cough with acute breathlessness

A 26-year-old woman presented to the medical emergency with acute breathlessness and cough since morning since the day of admission. She had left sided chest pain which increased with inspiration and cough. 12 days before admission the patient had an episode of coughing out of about 150ml of yellowish material which was salty and sour in taste.
CT Scan image is shown below. What is the diagnosis?



a) Ruptured Hydatid Cyst
b) Tuberculosis
c) Wegener's Granulomatosis
d) Pulmonary Aspergillosis
e) Lung Abscess


Answer is a) Ruptured Hydatid cyst

CT Thorax showed cavitary lesion measuring involving left upper lobe. Folded membrane like structure was seen with in the cavity with demonstrable shift with the position of the patient. The rest of lung fields and mediastinum were normal. CT features suggested ruptured hydatid cyst with detached endocyst

Read more about the disease HERE

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