IMAGE SERIESIMAGE SERIESHANDPICKEDHANDPICKED

PROF.DR.G.SUNDARAMURTHY’S UNIT PROF.DR.G.SUNDARAMURTHY’S UNIT M7M7

DR.K.BHARGAVIDR.K.BHARGAVI

1.LUPUS VULGARIS1.LUPUS VULGARIS• CUTANEOUS MANIFESTATION OF TB• SMOLDERING DISEASE WITH

NODULES,PLAQUES AND FISSURES• STARTS AS AN ANNULAR

INDURATING PLAQUE• PROGRESSING IN SIZE OVER

DECADES• APPLE JELLY NODULES

2.MILIARY MOTTLING2.MILIARY MOTTLING• MILIARY- DIFFUSE,DISCRETE,NODULAR

SHADOWS ABOUT THE SIZE OF A MILLET SEED

• DIFFERENTIAL DIAGNOSIS• MILIARY TB• SARCOIDOSIS• FUNGAL DISEASES• COAL WORKER’S PNEUMOCONIOSIS

• ACUTE EXTRINSIC ALLERGIC ALVEOLOLITIS

• TROPICAL PULMONARY EOSINOPHILIA• FIBROSING ALVEOLITIS• PULMONARY HEMOSIDEROSIS• SILICOSIS• MILIARY CARCINOMATOSIS• LYMPHOMA• MULTIFOCAL PNEUMONIA• FAT EMBOLI

3.DESCENDING THORACIC 3.DESCENDING THORACIC AORTA CALCIFICATIONAORTA CALCIFICATION

• ATHEROSCLEROSIS

• AORTITIS

• ANEURYSM

• VALVES-ANNULUS CALCIFICATION

4.MULTIPLE CAVITIES LUNG-4.MULTIPLE CAVITIES LUNG-DDDD

• TUBERCULOSIS – Superior segments – Bilateral

• PRIMARY LUNG CANCER – Thick wall – Eccentric cavitation

• NECROTIZING PNEUMONIA .LUNG ABSCESS

– Gravity dependant segments – Thick wall – Air-fluid levels

• FUNGAL INFECTIONS – Aspergillus

• Fungus ball • METASTATIC DISEASE

– Thin walled (Squamous cell)

CAVITIESCAVITIES• THICK WALLED  

– Lung abscess 

– Necrotizing squamous cell lung cancer

– Wegners granulomatosis

– Blastomycosis

• THIN WALLED - TB

- Coccidiomycosis

– Metastatic cavitating squamous cell carcinoma

– M. Kansasii infection

– Congenital or acquired bullae

– Posttraumatic cysts

40 YR OLD MALE WITH …..40 YR OLD MALE WITH …..

• ATAXIA• PHTHISIS BULBI• ABDOMINAL PAIN• EPISODES OF HEADACHE WITH

PALPITATIONS

• CT ABDOMEN- b/l ADRENAL MASS POSSIBLY PHEOCHROMOCYTOMA

• PANCREATIC CYSTIC LESION IN TAIL• CT BRAIN-MULTILOCULATED RIM

ENHANCING CYSTIC LESION IN LEFT CEREBELLAR HEMISPHERE S/O HEMANGIOBLASTOMA

5.VHL SYNDROME5.VHL SYNDROME• PHEOCHROMOCYTOMA• ISLET CELL TUMOUR• RENAL CELL CARCINOMA• CNS HEMANGIOBLASTOMA• RETINAL HEMANGIOMAS