A 70 year old male with diffi culty in
breathing
Sarita Magu, Shalini Agarwal, Sanjay Kumar 1
Department of Padiology
and 1Pathology,
A 70 year old man presented with complaints of
moderate pain chest which was generalized
Clinical Questions
Pt. BD Sharma, in nature & diffi culty in breathing for the past 1. What are the fi ndings on chest radiographs
Post Graduate Institute 6-7 month. He also had cough off and on. Clinical [Figure 1]?
of Medical Sciences, and routine hematological examination was
Rohtak (Haryana) India unremarkable except for reduced breath sounds 2. What are the fi ndings on computed tomogram
in left lower lobe. Imaging studies were advised. (CT) [Figure 2] and magnetic resonance
[Figures 1-3] Fine needle aspiration cytology imaging (MRI) [Figure 3] of the chest? How
was performed thereafter. [Figure 4] It revealed is MRI useful?
spindle shaped cells with pleomorphic nucleus
and vaiable cytoplasm. (MGG stain, ×100) 3. What is the differential diagnosis?
Figure 1a: Radiograph chest posteroanterior view Figure 1b: Radiograph chest left lateral view
breathing
Sarita Magu, Shalini Agarwal, Sanjay Kumar 1
Department of Padiology
and 1Pathology,
A 70 year old man presented with complaints of
moderate pain chest which was generalized
Clinical Questions
Pt. BD Sharma, in nature & diffi culty in breathing for the past 1. What are the fi ndings on chest radiographs
Post Graduate Institute 6-7 month. He also had cough off and on. Clinical [Figure 1]?
of Medical Sciences, and routine hematological examination was
Rohtak (Haryana) India unremarkable except for reduced breath sounds 2. What are the fi ndings on computed tomogram
in left lower lobe. Imaging studies were advised. (CT) [Figure 2] and magnetic resonance
[Figures 1-3] Fine needle aspiration cytology imaging (MRI) [Figure 3] of the chest? How
was performed thereafter. [Figure 4] It revealed is MRI useful?
spindle shaped cells with pleomorphic nucleus
and vaiable cytoplasm. (MGG stain, ×100) 3. What is the differential diagnosis?
Figure 1a: Radiograph chest posteroanterior view Figure 1b: Radiograph chest left lateral view
