Tuberculosis and Respiratory Diseases

  • 제76권2호
  • /
  • Pages.88-92
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  • 2014
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  • 1738-3536(pISSN)
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  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
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Non-infected and Infected Bronchogenic Cyst: The Correlation of Image Findings with Cyst Content

  • Jeon, Hong Gil (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Ju Hwan (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Hye Min (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kwon, Woon Jung (Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Cha, Hee Jeong (Department of Pathology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lee, Young Jik (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Chang Ryul (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jegal, Yangjin (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Ahn, Jong-Joon (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Ra, Seung Won (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine)
  • Received : 2013.10.11
  • Accepted : 2013.10.21
  • Published : 2014.02.28
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Abstract

We hereby report a case on bronchogenic cyst which is initially non-infected, then becomes infected after bronchoscopic ultrasound (US)-guided transesophageal fine-needle aspiration (FNA). The non-infected bronchogenic cyst appears to be filled with relatively echogenic materials on US, and the aspirate is a whitish jelly-like fluid. Upon contrast-enhanced MRI of the infected bronchogenic cyst, a T1-weighted image shows low signal intensity and a T2-weighted image shows high signal intensity, with no enhancements of the cyst contents, but enhancements of the thickened cystic wall. The patient then undergo video-assisted thoracic surgery 14 days after the FNA. The cystic mass is known to be completely removed, and the aspirate is yellowish and purulent. To understand the image findings that pertain to the gross appearance of the cyst contents will help to diagnose bronchogenic cysts in the future.

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References

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