Parto Teb Azma

Patient ID: 89033147

History (HX):
Left sided palpable mass

Findings:
Large cystic mass in left posterior triangle and lateral to carotid sheath.
Rim and internal septation enhancement

Diagnose (DX):
Second branchial cleft cyst

Discussion:
The second branchial cleft accounts for 95% of branchial anomalies frequently , second branchial cleft cysts are identified along  the anterior border of the upper third of the Sternoclenoidomastoid muscle and adjacent to the muscle . However, these cysts may present any where along the course of a second brachial fistula, which proceeds from the skin of the lateral neck, between the internal and external carotid arteries, and into the palatine tonsil. Therefore, a second branchial cleft cyst is part of the differential diagnosis of a parapharyngeal mass.

History (HX): Dyspnea
Findings:
Complete collapse of right lung with heterogeneous attenuation value and obliteration of right bronchus related to tumoral involvement right sided pleural effusion
Diagnose (DX): Bronchogenic carcinoma (S.C.C)
Discussion:
In most cases of S.C.C tumor areas centrally within lobar or segmental bronchus. The central location of the tumor account for the presenting symptoms of cough and hemoptysis and common radiographic finding of a hilar mass with or without obstructive pneumonitis or atelectasis.

HX:41 year old man- chemical exposure- dry cough- dypnea.

Findings: Mosaic pattern with exaggeration on expiration.

Diagnosis: Obliterative bronchiolitis related to chemical

War injury.

Discussion:OB is a disorder caused by partial or complete

obstruction of bronchi and bronchioles by fibrous tissue

following an insult to the lower respiratory tract.

In pediatric population OB is frequently preceded by respiratory infections caused

by adenovirus, influenza or measles, wheras in adults

mycoplasma, collagen vascular disease, inhaled toxin (like

this patient), drug therapy or idiopathic are included.