We report a rare event of old hemorrhage into a thyroid causing respiratory distress. A 67-year-old man with chronic cough and recent dysphagia was found to have a retrosternal mass extending into the visceral mediastinum on chest roentgenogram. A computed tomographic (CT) scan confirmed eggshell callcification, which was 53 x 53 x 80 mm in size a retrosternal thyroid mass and revealed signific...

The routine chest roentgenogram of pulmonary paragonimiasis heterotremus were evaluated in 93 Thai and Laotian patients. They were 44 males and 49 females; the ages ranged from 12 to 79 years; the history of illness ranged from 4 months to 14 years and the egg output per day was 400 to 300,000. Twelve patients, 12.9% had normal roentgenologic films and 81 patients (87.1%) had abnormalities with...

PARTIAL anomalous pulmoniary venous drainage wvith ani intact iinteratrial septLm associated with mitral stenosis represents an uncommon but interesting hemodynamic problem. There have been 12 such cases published in the literature, 1(0 of which three were diagnosed at autopsy.' 2 The initial clinical diagnosis has usuially been that of Lutembacher's syndrome.4 7, The present case is reported b...

A25-day baby neonate presented with fever and stridor. He had severe respiratory distress at admission. The systemic examination was unremarkable. The roentgenogram of soft tissues of neck revealed widening of superior mediastinum. Computed tomography of neck and upper chest revealed multiple abscesses in the retropharyngeal space, parapharyngeal space, and superior mediastinum. The child impro...

We assessed the prognostic value of cardiothoracic ratio and plain film heart volume in relation to other clinical, exercise, hemodynamic and quantitative angiographic variables. Both cardiothoracic ratio and plain film heart volume are highly sensitive, but nonspecific, indicators of abnormal left ventricular end-diastolic volume and ejection fraction. Both variables are univariately important...

A 44-year-old man presented with painful swelling of wrists and ankles, severe pain at both tibiae, clubbing of fingers and toes and arthritis in wrist and ankle joints. The chest roentgenogram showed consolidation of the right lower lobe, whereas plain roentgenograms revealed solid periosteal reaction at both tibiae. CT and bronchoscopy confirmed the presence of adenocarcinoma of the right low...

A 65-year-old man with steroid-dependent chronic airflow obstruction presented with progressive dyspnea and weight loss. Travel history included a military tour in southeast Asia. A chest roentgenogram revealed hyperexpanded lung fields with diffusely increased interstitial markings. The Papanicolaou stain of expectorated sputum demonstrated the rhabditiform larvae of Strongyloides stercoralis....

Hypertrophic cardiomyopathy usually involves the left ventricle more severely than the right, and when asymmetrical may. produce the syndrome of idiopathic subaortic stenosis. Less commonly, clinical manifestations of inflow-tract obstruction predominate and produce a syndrome that may be mistaken for mitral stenosis, principally because of an apical diastolic rumbling murmur. The probability o...

Isolated tricuspid insufficiency can be a well-tolerated lesion, as illustrated by a 32year follow-up in one patient reported here. A second case of recent onset is also described. The 13 reported cases of isolated tricuspid insufficiency due to trauma can be divided into two groups: ruptured papillary muscle or ruptured chordae tendineae and/or valve. All patients with ruptured papillary muscl...

T HE APPEARANCE of clinical symptoms in a patient with an overloaded or weakened left ventricle generally provides the earliest evidence that the compensating cardiac mechanisms are no longer able to cope with normal physiologic demands.' If, however, clinical signs and symptoms appear only after a certain level or duration of left ventricular decompensation, then the asymptomatic, apparently c...