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A 44-Year-Old Man With Nonproductive Cough and Sensation of Heaviness Over the Upper Chest

机译:一名44岁的老人,无咳嗽,上胸沉重

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Figures Figure?1 A-F, The left and right columns show images obtained prior to and following endobronchial ultrasound-guided transbronchial needle aspiration. A, B, Posteroanterior view on chest radiograph showing right paratracheal opacity (A) and right paratracheal air-fluid level (B). C,?D, CT scan of chest at the level of arch of aorta with right paratracheal mass with internal area of hypoattenuation (C) and air fluid level (D). E, F, Coronal reconstruction images on CT scan showing right paratracheal mass and narrowing of the superior vena cava where it joins the right atrium (E) and right paratracheal air column with normal patency of the superior vena cava (F). Figure?2 From left to right: endobronchial ultrasound-guided transbronchial needle aspiration of the anechoic structure at 4R station; bronchoscopic view of puncture site at 4R station; and aspirated clear fluid. A 44-year-old man presented with progressively increasing nonproductive cough associated with a sensation of heaviness over the upper chest for 7?months. He had no dyspnea, fever, hemoptysis, chest pain, headache, or weight loss. His clinical examination was unremarkable. Complete blood hemogram, coagulation profile, blood sugar, and results of renal and liver function tests were normal; ECG and spirometry results were also normal. A posteroanterior view on chest radiograph showed a right paratracheal stripe.
机译:图1A-F,左和右列显示了在支气管内超声引导的经支气管针抽吸之前和之后获得的图像。 A,B,胸片的后前视图,显示右气管旁气密性(A)和右气管旁气液水平(B)。 C,?D,胸部主动脉弓水平,右侧气管旁肿物的CT扫描,内部区域有低衰减(C)和空气液位(D)。 E,F,CT扫描上的冠状动脉重建图像显示右气管旁气肿和上腔静脉变窄,该处连接右心房(E)和右气管旁气柱,上腔静脉正常通畅(F)。图2:从左至右:4R站消声结构的经支气管内超声引导的经支气管针抽吸; 4R站穿刺部位的支气管镜视图;并吸入透明液体。一名44岁的男子表现出非生产性咳嗽的逐渐加重,并伴有上胸部沉重感7个月。他没有呼吸困难,发烧,咯血,胸痛,头痛或体重减轻。他的临床检查无异常。全血图,凝血曲线,血糖以及肾和肝功能检查结果均正常;心电图和肺活量测定结果也正常。胸部X线检查的后前视图显示右气管旁条纹。

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