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Fırat Tıp Dergisi
2010, Cilt 15, Sayı 1, Sayfa(lar) 048-050
[ Turkish ] [ Tam Metin ] [ PDF ]
Pulmonary Paramediastinal Mass-like Consolidation: Differentiation of pneumonic consolidation from lymphoma with Transthoracic Doppler Ultrasonography
Düzgün YILDIRIM1, Murat EROĞLU2
1Kasımpaşa Asker Hastanesi, Radyoloji, İSTANBUL, Türkiye
2Erzurum Asker Hastanesi, Acil, ERZURUM, Türkiye

Although there are lots of paramediastinal mass lesions which resemble each other, it is possible to narrow the differential diagnosis by clinical-labratory and radiologic correlation. With this unique case (5 years old girl), which seems like having left upper paramediastinal solid mass lesion but having no spesicific clinical-labratory sceneraio, we tried to differentiate pneumonic consolidation and (lymphomatous) tumoral mass by transthoracic conventional gray scale ultrasonography (US) and colour Doppler ultrasonography (CDUS) examinations. With the transthoracic high resolution US; air filled thinner bronchi also may be determined easily which is impossible to reveal at direct graphy or even at conventional CT sections. Also it is possible to conceive the normal pulmonary vasculary distrubiton through the pneumonic consolidation areas as a distinguishing sign between infiltrative consolidation and lymphoma or other consolidated mass lesions.

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