Primary pulmonary lymphoepithelioma-like carcinoma (LELC) is a rare malignant tumour with histological features similar to undifferentiated nasopharyngeal carcinoma. A close association is known to exist between pulmonary LELC and Epstein-Barr virus infection in Southeast Asian countries. We report a 69-year-old man with pulmonary LELC arising from a thin-walled cavity with a smooth inner surfa...

Pulmonary lymphangiectasis can occur either as a primary change or secondary to chronic congestion. Primary lymphangiectasis is generally considered to occur exclusively in young children. This report describes three male patients, aged 13, 16, and 19 years, in whom the changes are limited to one lobe or to two lobes and the mediastinum. So far as could be ascertained these patients are the old...

BACKGROUND the incidence of pulmonary embolism increases with age but the 'classical' presentation of acute pulmonary embolism may not occur in older persons. OBJECTIVES to compare the clinical presentation of younger and older patients with acute pulmonary embolism. DESIGN retrospective identification of 60 consecutive cases of spiral computed tomography confirmed acute pulmonary embolism ...

There was no history of a foreign body in the nose at any time before. Anterior rhinoscopy showed a rough dark stony mass covered with greenish discharge. Probing gave a metallic sound. Postnasal examination showed a greenish discharge. A clinical diagnosis of a rhinolith was made. Radiology showed the rhinolith's position (Fig. 1) in the floor of the right nostril with mucosal thickening of th...

We report a case of pulmonary sarcoidosis, which initially presented as a left apical infiltrate. The later course mimicked a pulmonary neoplasm, with left upper lobe atelectasis secondary to bronchial stenosis, resulting from both endobronchial sarcoidosis and extrinsic compression by enlarged lymph nodes. Extrinsic pressure from sarcoid nodes on the left main pulmonary artery and recurrent la...

Pneumothorax due to mycetoma is extremely rare and has been described only in patients undergoing intensive cytotoxic therapy for hematologic malignancies. A non-immunocompromised subject presenting with pneumothorax due to rupture of the mycetoma into the pleural cavity is being described here.

A middle aged female presented with symptoms of chronic cough, breathlessness, fatigue and weight loss of 4 months duration. Chest Xray (CXR) was suggestive of bilateral upper lobe mass lesion with a differential diagnosis in favour of malignancy. Contrast enhanced computed tomography (CECT) chest showed collapse of right upper lobe and left upper lobe. Bronchoscopy showed thick gelatinous glob...

Abstract Background Mycoplasma pneumoniae is one of the leading causes community-acquired pneumonia. Due to its microbiological variation, clinical presentations mycoplasma infections are atypical and diverse. Multiple pulmonary extrapulmonary manifestations have been documented. Among pulmonary, common fever, malaise, lymphadenopathy, pneumonia, upper respiratory tract infections, sinusitis, e...

A patient is described in whom clinical presentation, V/Q scan, and pulmonary angiogram were consistent with pulmonary embolus. No improvement occurred despite therapy with heparin. When sent for surgical embolectomy, sarcoma of the pulmonary artery was diagnosed. This entity, though rare, should be considered in the differential diagnosis of pulmonary vascular disease.