Case report We present a man, 56 years, admitted in our department for tuberculous (TB) meningoencephalitis (history of pulmonary tuberculosis, symptoms: fever, dizziness, sleepy, difficulty in speaking and walking; in the CSF proteins=62.1 mg/dL, 17 lymphocytes/cmm, chest X-ray: nodular opacity in the upper left lobe, reticulo-nodular image bilaterally, pneumologist consult: pulmonary tubercul...

Case 1 A 29 year old male, with no signifi cant past medical history, presented to his general practitioner after a lower respiratory tract infection. On examination a goitre was noted. Chest x-ray demonstrated a right upper mediastinal mass with marked tracheal deviation to the left (Fig. 1a). Computed tomography (CT) scan of the neck (Fig. 1b and 1d) was interpreted as an enlarged right lobe ...

Herniation of an emphysematous bulla is extremely rare. A 55-year-old male patient presented with complains of shortness of breath and cough for the last 10 years which had exacerbated in the last two days. The patient was a diagnosed case of chronic obstructive pulmonary disease. Chest x-ray showed bilateral hyperinflated lung fields along with loss of lung markings in left upper lobe and a th...

Upper extremity deep vein thrombosis is an extremely important clinical entity with potential for considerable morbidity and mortality. A 64-year-old woman was brought to the emergency department with complaints of left upper limb and neck swelling for 4 days. Ultrasonography of the neck showed thrombosis of the left internal jugular and other surrounding veins associated with local lymphadenop...

The prognosis of patients with lung cancer metastasis to the spine is poor, and the choice of surgery is questionable based on the aggressiveness of the disease. The present study describes a case of a 56-year-old male with metastatic spinal cord compression. The patient underwent surgery for posterior decompression and internal fixation, in addition to receiving postoperative radiation and epi...

Chest CT confirmed the presence of a branching calcified lesion in the apicoposterior bronchus of the left upper lobe ( fig. 2 ). Distal to the lesion, the lung parenchyma appeared hyperinflated with sparse vascularity. Imaging findings were consistent with congenital bronchial atresia with a calcified mucocele. Two years later, follow-up chest CT did not show any changes while the patient rema...

Preoperative pulmonary evluation in 88 patients with class 111 or IV mitral valve disease revealed emphysema to be present io 17. Total operative mortality was 17 percent, 7 percent in patients without emphysema, 65 percent in patients with emphysema (37 percent when generalized throughout both lungs and 89 percent when upper lobe). In patients with mitral valve disease an increase in left atri...

We present the case of a 70-year-old woman with a history of diabetes mellitus type 2, dyslipidemia, depression and ibuprofen allergy. She had no toxic habits or workplace exposure to toxins. She was a former housekeeper with no significant family history. Cholecystectomy was performed 30 years previously. She was under regular treatment with metformin, atorvastatin and escitalopram. She presen...

We describe the identification of a rare, left-sided, partial anomalous pulmonary venous connection during routine central venous catheterization. To our knowledge, this is the first report in the literature to describe this anomaly in a hemodialysis patient. A young man had anomalous connection of the veins draining the upper lobe of the left lung and left innominate vein. Our case demonstrate...