A 50-Year-Old Man With a Cough and Painful Chest Wall Mass

Slides:



Advertisements
Similar presentations
A 35-Year-Old Man With Fever, Dyspnea, and Diffuse Reticular Opacities
Advertisements

An Unusual Cause of Stridor and Progressive Shortness of Breath
Rajesh V. Babu, MD, Alicia Romero, MD, Gulshan Sharma, MBBS, MPH, FCCP 
Volume 135, Issue 1, Pages (January 2009)
Volume 139, Issue 4, Pages (April 2011)
Robert Pickering, M.D, Fernando J. Martinez, M.D  CHEST 
Air Pollution and Chest Disease
Britta K. Sundquist, MD, Paul G. Comber, MD, PhD, Scott H. Beegle, MD 
A 46-Year-Old Woman With Persistent Asthma and Lung Masses
Cavitary Lung Disease with Skin Lesions
A 51-Year-Old Woman With an Increasing Chest Wall Mass Years After Resection of an Early Stage Lung Cancer  Ajay Dhakal, MBBS, Hongbin Chen, MD, PhD,
Volume 132, Issue 4, Pages (October 2007)
Volume 137, Issue 3, Pages (March 2010)
A 48-Year-Old Woman With Headache and Respiratory Failure
Volume 143, Issue 3, Pages (March 2013)
Hangyul M. Chung-esaki, MD, Sara Nikravan, MD  CHEST 
Volume 143, Issue 4, Pages (April 2013)
A Middle-aged Asthmatic Woman With Unresolving Cough
A 3-Year-Old Child With a History of Persistent Dry Cough and Fever
A Woman in Her 30s With a History of Cervical Cancer Presents With Shortness of Breath and Pleuritic Chest Pain  Jing Gennie Wang, MD, Patrick Gerard.
Adolescent Male With Knee Pain and Swelling
Volume 137, Issue 2, Pages (February 2010)
Volume 140, Issue 2, Pages (August 2011)
Kelly Chugg, BM BS, Vinod Aiyappan, MD, Jeffrey Bowden, MD  CHEST 
Volume 154, Issue 3, Pages e69-e72 (September 2018)
A 3-Year-Old Child With a History of Persistent Dry Cough and Fever
A 70-Year-Old Woman With Acute Chest Pain and a Paracardiac Mass
Peter Hountras, MD, Hector Cajigas, MD  CHEST 
Elderly Woman With a Cough
Lung Changes in Ankylosing Spondylitis
Decortication after 35 Years
Britta K. Sundquist, MD, Paul G. Comber, MD, PhD, Scott H. Beegle, MD 
Volume 140, Issue 1, Pages (July 2011)
A 20-Year-Old Man With Fever, Chest Pain, and Lung Nodules
Volume 151, Issue 6, Pages e135-e139 (June 2017)
Recurrent Fevers, Cough, and Pulmonary Opacities in a Middle-Aged Man
Fever, Cough, and Weight Loss
Man With Chest Pain and Lump in Neck
A 56-Year-Old Man With Cardiac Tamponade and Eosinophilia
Pulmonary Artery Invasion Caused by Mycobacterium tuberculosis
Volume 148, Issue 5, Pages e142-e147 (November 2015)
Multifocal Thoracic Tuberculosis
Anterior Mediastinal Bone-Eroding Mass With Disseminated Lung Lesions
An 82-Year-Old Woman With Left Upper Lobe Atelectasis
An Elderly Woman With Stridor
Rubinowitz Ami N. , MD, Moon Marianne , MD, Homer Robert , MD, PhD 
Elderly Woman With Chest Pain and Cough
Alexander Zider, MD, Nader Kamangar, MD, FCCP  CHEST 
Vicki L. Schiller, MD, Rolf D. Arndt, MD, R. James Brenner, MD  CHEST 
A 57-Year-Old Man With Subacute Progressive Hemoptysis and Fevers
Volume 152, Issue 1, Pages e11-e14 (July 2017)
An 80-Year-Old Man With Hemoptysis and Unilateral Patchy Opacities
A Man in His 70s Presenting With Chest Pain and Hematuria
A 54-Year-Old Man Referred With Nonresolving Pneumonia
Volume 155, Issue 3, Pages e69-e74 (March 2019)
A 40-Year-Old Woman With Multiple Pulmonary Nodules
Sean Connolly, MD, Peter Hountras, MD  CHEST 
Adult With Recurrent Chest Pain and Vomiting
Damian R. Compa, MD, Marc A. Judson, MD, FCCP, Scott H. Beegle, MD 
A 59-Year-Old Man With ARDS Receiving “Protective” Ventilation
Volume 154, Issue 3, Pages e83-e86 (September 2018)
Mediastinal Mass in a 25-Year-Old Man
Luke A. Seaburg, MD, Hiroshi Sekiguchi, MD  CHEST 
Volume 140, Issue 3, Pages (September 2011)
A Diagnostic Conundrum
New Members of the Editorial Board
Volume 155, Issue 5, Pages e141-e144 (May 2019)
Volume 156, Issue 2, Pages e41-e45 (August 2019)
A 58-Year-Old Woman With Pneumonia and Gram-Negative Diplococci
A 76-Year-Old Woman With Incidental Right Middle Lobe Atelectasis
Presentation transcript:

A 50-Year-Old Man With a Cough and Painful Chest Wall Mass Quentin Jones, MBBS, Rachel Benamore, MBBChir, Eve Fryer, BMBCh, Anny Sykes, PhD  CHEST  Volume 145, Issue 5, Pages 1158-1161 (May 2014) DOI: 10.1378/chest.13-2039 Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 1 Chest radiograph showing multifocal bilateral consolidation. There is a diffuse, poorly marginated, increased opacity in the right midzone and enlargement and increased density of the soft tissues, suggestive of a chest wall mass. CHEST 2014 145, 1158-1161DOI: (10.1378/chest.13-2039) Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 2 The CT scan shows multifocal, bilateral, nodular, and mass-like consolidation. CHEST 2014 145, 1158-1161DOI: (10.1378/chest.13-2039) Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 3 CT scan showing the mass-like consolidation in the middle lobe contains areas of low attenuation in keeping with necrosis and is causing rib and costal cartilage erosion; it extends directly into the anterior chest wall, deep to the pectoralis major muscle, where there is a multiseptated low-density collection. CHEST 2014 145, 1158-1161DOI: (10.1378/chest.13-2039) Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 4 CT scan sagittal view showing rib erosion. CHEST 2014 145, 1158-1161DOI: (10.1378/chest.13-2039) Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 5 Actinomycosis forming sulfur granules (periodic acid shift diastase, original magnification × 100). CHEST 2014 145, 1158-1161DOI: (10.1378/chest.13-2039) Copyright © 2014 The American College of Chest Physicians Terms and Conditions