A 66-yr-old woman with dyspnea and weight loss

  • Upload
    zanna

  • View
    55

  • Download
    3

Embed Size (px)

DESCRIPTION

A 66-yr-old woman with dyspnea and weight loss. previous healthy. 9 months ago: 건강검진 받음 . 별다른 이상소견 없었음 . 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon) 발생하여 local 방문하여 감기라고 진단받고 1 주 정도 medication 받음 . 이후 호전 없었음 . - PowerPoint PPT Presentation

Citation preview

  • A 66-yr-old woman with dyspnea and weight lossprevious healthy.9 months ago: . .7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon) local 1 medication. .3 : local CXR, CT refer. IM3 OPD . r/o LCA, r/o pul. TB imp. anti-TB medicaiton . INH, RFP4, EMB, B6, PZA5, PANC 21 W/U .

  • 1977868119778681Mild prominent of right hilum and increased interstitial marking

  • Bilateral homogeneous lymph node enlargement in superior mediastinal, hilar, and subcarinal area Bronchovascular bundle thickening in RUL

  • Bronchoscopic biopsyBronchial mucosaSubmucosal non-caseating granuloma

  • Submucosal non-caseating granuloma, suggestive sarcoidosis