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IMAGING FOR RESIDENTS QUIZ Table of Contents  
Ahead of print publication
A 3-year-old girl with recurrent respiratory tract infections


 Department of Radiology, Erzincan Binali Yıldırım University Faculty of Medicine, Erzincan, Turkey

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Date of Submission19-Nov-2020
Date of Decision06-Feb-2021
Date of Acceptance11-Mar-2021
Date of Web Publication04-May-2021
 


How to cite this URL:
Kadirhan O, Aydin S, Kantarci A M. A 3-year-old girl with recurrent respiratory tract infections. J Med Ultrasound [Epub ahead of print] [cited 2021 Oct 20]. Available from: http://www.jmuonline.org/preprintarticle.asp?id=315474





  Section 1 – Quiz Top


Case

A 3-year-old girl was referred to radiology clinic with complaints of cough, fever (38, 5°C), sputum production, and respiratory distress. It was learned that the patient was previously followed up in the hospital due to recurrent respiratory tract infections. Physical examination of the patient revealed a decrease in respiratory sounds in the lower parts of the left lung during auscultation. Significant laboratory tests result: White blood cell count 16,350/μL, C-reactive protein 9, 8 mg/L. Ultrasonography (US) and a computed tomography (CT) was performed. On US a hyperechogenic, well-circumscribed mass, with cystic areas was detected in the basal part of the left lung [Figure 1]. On color Doppler US a branch extending from the thoracic aorta to the lesion was seen [Figure 2]. On CT images, branches of the thoracic aorta and the pulmonary vein extending toward the lesion were detected [Figure 3] and [Figure 4].
Figure 1: Axial sonography showing a cystic heterogen-hyperechogenic mass in the left lower lobe (inside circle)

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Figure 2: (a) Axial and (b) longitudinal color Doppler ultrasonography images showing blood supply of the lesion originating from the thoracic aorta

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Figure 3: Coronal computed tomography image lung window (a) and soft-tissue window (b), There is a cystic mass in the left lower lobe (inside the circle), inside the lesion branches of thoracic aorta (red arrow) and pulmonary vein (blue arrow)

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Figure 4: Axial computed tomography image, a cystic mass in the left lower lobe and a branch of the thoracic aorta (red arrow) extending into the lesion

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the legal guardian has given his consent for images and other clinical information to be reported in the journal. The guardian understands that names and initials will not be published and due efforts will be made to conceal patient identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



Top
Correspondence Address:
Ozlem Kadirhan,
Department of Radiology, Erzincan Binali Yıldırım University Faculty of Medicine, Erzincan
Turkey
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Source of Support: None, Conflict of Interest: None



    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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    -  Kadirhan O
    -  Aydin S
    -  Kantarci A M


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