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Images: Lupus Vulgaris ... VHL Syndrome

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  • Very infomative. Good collection of slides.
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Images: Lupus Vulgaris ... VHL Syndrome

  1. 1. IMAGE SERIES HANDPICKED PROF.DR.G.SUNDARAMURTHY’S UNIT M7 DR.K.BHARGAVI
  2. 3. 1.LUPUS VULGARIS <ul><li>CUTANEOUS MANIFESTATION OF TB </li></ul><ul><li>SMOLDERING DISEASE WITH NODULES,PLAQUES AND FISSURES </li></ul><ul><li>STARTS AS AN ANNULAR INDURATING PLAQUE </li></ul><ul><li>PROGRESSING IN SIZE OVER DECADES </li></ul><ul><li>APPLE JELLY NODULES </li></ul>
  3. 5. 2.MILIARY MOTTLING <ul><li>MILIARY- DIFFUSE,DISCRETE,NODULAR SHADOWS ABOUT THE SIZE OF A MILLET SEED </li></ul><ul><li>DIFFERENTIAL DIAGNOSIS </li></ul><ul><li>MILIARY TB </li></ul><ul><li>SARCOIDOSIS </li></ul><ul><li>FUNGAL DISEASES </li></ul><ul><li>COAL WORKER’S PNEUMOCONIOSIS </li></ul>
  4. 6. <ul><li>ACUTE EXTRINSIC ALLERGIC ALVEOLOLITIS </li></ul><ul><li>TROPICAL PULMONARY EOSINOPHILIA </li></ul><ul><li>FIBROSING ALVEOLITIS </li></ul><ul><li>PULMONARY HEMOSIDEROSIS </li></ul><ul><li>SILICOSIS </li></ul><ul><li>MILIARY CARCINOMATOSIS </li></ul><ul><li>LYMPHOMA </li></ul><ul><li>MULTIFOCAL PNEUMONIA </li></ul><ul><li>FAT EMBOLI </li></ul>
  5. 9. 3.DESCENDING THORACIC AORTA CALCIFICATION <ul><li>ATHEROSCLEROSIS </li></ul><ul><li>AORTITIS </li></ul><ul><li>ANEURYSM </li></ul><ul><li>VALVES-ANNULUS CALCIFICATION </li></ul>
  6. 12. 4.MULTIPLE CAVITIES LUNG-DD <ul><li>TUBERCULOSIS </li></ul><ul><ul><li>Superior segments </li></ul></ul><ul><ul><li>Bilateral </li></ul></ul><ul><li>PRIMARY LUNG CANCER </li></ul><ul><ul><li>Thick wall </li></ul></ul><ul><ul><li>Eccentric cavitation </li></ul></ul><ul><li>NECROTIZING PNEUMONIA </li></ul><ul><li>.LUNG ABSCESS </li></ul><ul><ul><li>Gravity dependant segments </li></ul></ul><ul><ul><li>Thick wall </li></ul></ul><ul><ul><li>Air-fluid levels </li></ul></ul><ul><li>FUNGAL INFECTIONS </li></ul><ul><ul><li>Aspergillus </li></ul></ul><ul><ul><ul><li>Fungus ball </li></ul></ul></ul><ul><li>METASTATIC DISEASE </li></ul><ul><ul><li>Thin walled (Squamous cell) </li></ul></ul>
  7. 13. CAVITIES <ul><li>THICK WALLED   </li></ul><ul><ul><li>Lung abscess  </li></ul></ul><ul><ul><li>Necrotizing squamous cell lung cancer </li></ul></ul><ul><ul><li>Wegners granulomatosis </li></ul></ul><ul><ul><li>Blastomycosis </li></ul></ul><ul><li>THIN WALLED </li></ul><ul><li> - TB </li></ul><ul><li> - Coccidiomycosis </li></ul><ul><ul><li>Metastatic cavitating squamous cell carcinoma </li></ul></ul><ul><ul><li>M. Kansasii infection </li></ul></ul><ul><ul><li>Congenital or acquired bullae </li></ul></ul><ul><ul><li>Posttraumatic cysts </li></ul></ul>
  8. 14. 40 YR OLD MALE WITH ….. <ul><li>ATAXIA </li></ul><ul><li>PHTHISIS BULBI </li></ul><ul><li>ABDOMINAL PAIN </li></ul><ul><li>EPISODES OF HEADACHE WITH PALPITATIONS </li></ul>
  9. 20. <ul><li>CT ABDOMEN- b/l ADRENAL MASS POSSIBLY PHEOCHROMOCYTOMA </li></ul><ul><li>PANCREATIC CYSTIC LESION IN TAIL </li></ul><ul><li>CT BRAIN-MULTILOCULATED RIM ENHANCING CYSTIC LESION IN LEFT CEREBELLAR HEMISPHERE S/O HEMANGIOBLASTOMA </li></ul>
  10. 21. 5.VHL SYNDROME <ul><li>PHEOCHROMOCYTOMA </li></ul><ul><li>ISLET CELL TUMOUR </li></ul><ul><li>RENAL CELL CARCINOMA </li></ul><ul><li>CNS HEMANGIOBLASTOMA </li></ul><ul><li>RETINAL HEMANGIOMAS </li></ul>
  11. 22. THANK YOU

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