CASE 465: LUNG with LOFFLER SYNDROME, Dr PHAN THANH HAI. MEDIC MEDICAL CENTER, HCMC VIETNAM

Woman  45 yo with  fever and cough. Chest XRays detected many  white spots  like balloon both site the lung.

Radiologist suggested diffuse lung metastasis.

Blood tests=  WBC rise 11.27 k, eosi 20,7%,  IgE 1779 UI/mL.

Toxocara sp  positive  with od 1,809 and  all cancer marker are negative.

CT scan  with CE many opacification of  peripheral lung  booth site( CT1a/b)

CT scan the lung  with CE   the  lesion is small  regression.

Ultrasound of thorax  with small light 

After one week treatment  no fever  no cough.   Chest  Xrays  is clear.

Summary:   By the clinical, blood tests, chest XRays,  diagnosis  as  Loffler syndrome  of the lung  was made for the case.
REFERENCE

AFTER ONE MONTH  CHEST XRAY IS NORMAL  AND BLOOD TEST  STILL HIGHT EOSINOPHILE 13%  

CASE 464: ANTERIOR MEDIASTINAL TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Female patient 62 yo, cardiologist send to CT scan for coronary artery  but in same time CT scanning detected one 3 cm mass  at the superior anterior madiastinal area.., well bordered.

CT1:  crossed section  non CE this mass has HU  = 54.

CT 2 :  after CE late phase HU  = 73.

CT 3 :  sagittal section, this mass is  ovoid  form at the  anterior mediastinal area.

CT 4 :  frontal view,  this mass is near aortic ascending.

CT 5 :  CE  arterial  phase,  this mass is late enhanced  and cystic formation.

Blood test is normal, and negative all cancer markers.

Radiologist suggested  thymom
Endoscopy operation of thoracotomy  removed this tumor  and  microscopic report is normal thymus tissue.

Conclusion:  it is  thymus resting.

CASE 463: MADURA FOOT, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 25 yo, with  right  swollen foot   and  bleeding  after  small  trauma for  5 years.  Being treated  in many hospital  this foot  but  not better.  Biopsy 3 times in Cancer Center  with  report is chronic inflamation. (see foto 1,2).

Xray   shows  the  erosion of metatarsal bones ( xray)

Ultrasound  reported   edema with  hypervascular  soft tissue of the foot 

Biopsy of this  tumor again

Biopsy report is mycetoma.
REFERENCE:
Mycetoma