Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Obstructive Pneumonitis of right lower lung field

우측 폐하엽의 폐쇄성 폐렴

  • Ahn, Kang-Hyun (Department of Internal Medicine, Won Ju College of Medicine, Yonsei University) ;
  • Lee, Chong-In (Department of Internal Medicine, Won Ju College of Medicine, Yonsei University) ;
  • Lee, Yong-Gyu (Department of Internal Medicine, Won Ju College of Medicine, Yonsei University) ;
  • Yong, Suk-Joong (Department of Internal Medicine, Won Ju College of Medicine, Yonsei University) ;
  • Shin, Kye-Chul (Department of Internal Medicine, Won Ju College of Medicine, Yonsei University)
  • 안강현 (연세대학교 원주의과대학 내과학교실) ;
  • 이종인 (연세대학교 원주의과대학 내과학교실) ;
  • 이용규 (연세대학교 원주의과대학 내과학교실) ;
  • 용석중 (연세대학교 원주의과대학 내과학교실) ;
  • 신계철 (연세대학교 원주의과대학 내과학교실)
  • Published : 1992.08.31
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Abstract

A chest x-ray of 68 year old male showed pneumonic consolidation of right lower lung field with blunting of right cardiac border. Computerized tomography of chest revealed infiltrative mass with V-shaped calcification just below right main bronchus. This finding has to be made into differential diagnosis of numerous pulmonary diseases including, mycobacterial disease, neoplasm, lymphadenopathies, and foreign bodies. Initial bronchoscopic findings suggest endobronchial mass lesion on right intermediate bronchus but endobronchial biopsy fail to prove malignant cell or underlying illness. But repeated endobronchial biopsy shows metallic material in the right Intermediate bronchus and we remove it with alligator jaws forcep under bronchoscopy. He was well after discharge.

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