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Saturday, 30 November 2019

CASE 575: LYMPH NODE TUBERCULOSIS, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

MAN 35 YO  PAIN AT   PERIUMBILICAL  AREA OF ABDOMEN.
US SCAN   
US 1:  ONE MASS  NEAR LEFT SITE OF  UMBILICUS  WITH  SANDWICH SIGN.


US 2: MANY LYMPH NODES HYPOECHOIC,  SIZE 2-3 CM  WITH STRUCTURE CHANGE AND NO HILUS.


US 3: SAME  STRUCTURE  OF LYMPH NODE IN MESENTERIUM.


US 4: 2 BIG LYMPH NODES AT THE LEFT SUPRACLAVICULAR AREA.



CHEST X-RAYS SUSPECTED TUBERCULOSIS AT RIGHT LUNG.



CT SCAN OF ABDOMEN WITH CE    

CT 1= FRONTAL VIEW OF ABDOMEN, THIS MASS IS  NEAR ABDOMINAL AORTA.


CT 2 = CROSSED SECTION.



CT 3  = FRONTAL VIEW OF THE LUNG 





BIOPSY REPORT OF THE BIG LYMPH NODE AT THE L NECK IS TUBERCULOSIS.




SUMMARY=  MULTIPLE LYMPH NODES APPEAR SAME TIME WITH LUNG TUBERCULOSIS.

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