| Obstructive pneumonitis of right lower lung field. |
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Kang Hyun Ahn, Chong In Lee, Yong Gyu Lee, Suk Joong Yong, Kye Chul Shin |
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Department of Internal Medicine, Won Ju College of Medicine, Yonsei University, Wonju, Korea |
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| Abstract |
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A chest x-ray of 68 year old male showed pneumonic consolidation of right lower lung field with blunting of right cardiac border. Computerized tomography of chest revealed infiltrative mass with V.shaped calcification just below right main bronchus.
This finding has to be made into differential diagnosis of numerous pulmonary diseases including, mycobacterial disease, neoplasm, lymphadenopathies, and foreign bodies.
Initial bronchoscopic findings suggest endobronchial mass lesion on right intermediate bronchus but endobronchial biopsy fail to prove malignant cell or underlying illness.
But repeated endobronchial biopsy shows metallic material in the right Intermediate bronchus and we remove it with alligator jaws forcep under bronchoscopy. He was well after discharge. |
| Key Words:
Mass, Obstructive pneumonitis, Foreign body |
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