Isolated symmetrical hilar adenopathy in an asymptomatic patient is an unusual presentation for pulmonary metastatic disease. In a large series of patients with bilateral hilar adenopathy only those with sarcoidosis were free of symptoms. In contrast, all the patients with hilar adenopathy secondary to extrathoracic neoplasms were symptomatic and the primary tumour was apparent.' The purpose of...

BACKGROUND Among patients with pulmonary disease due to Mycobacterium avium complex (MAC) seen recently at our center, a substantial number have had extensive calcified mediastinal, hilar, and peribronchial lymphadenopathy, a finding historically inconsistent with pulmonary MAC disease. METHOD We retrospectively studied the frequency of calcified lymphadenopathy in the chest and prevalence of...

we have studied the patients who had a neck mass on presentation in five medical centers of tehran univ. of medical sciences (infectious disease department, ent department, dentistry faculty, cancer institute) during a period of 14 months. sixty patients, 20 women and 40 men, were eligible for our study. all patients underwent clinical and paraclinical work up and finally had histologic diagnos...

OBJECTIVE To determine which sign, symptom, or combination thereof best predicts cultures positive for fungi in children with possible tinea capitis. DESIGN Convenience survey. SETTING Urban hospital-based general pediatric practice. PATIENTS Results were obtained on 100 consecutive children presenting with at least 1 sign or symptom (scalp pruritus, scaling, diffuse or circumscribed alop...

BACKGROUND We report our experience with mediastinoscopy at Auckland city hospital, a tertiary referral centre. We wished to examine correlations between clinical diagnosis and that made by histological sampling of enlarged mediastinal nodes particularly in patients with isolated mediastinal adenopathy. METHODS We retrospectively reviewed clinical records of all patients who underwent mediast...

A prospective evaluation of 212 paired chest roentgenograms and computed tomographic (CT) scans was performed to determine the predictive value of detecting subcarinal adenopathy by finding increased subcarinal density on routine roentgenograms. Based on CT criteria for subcarinal lymphadenopathy, 37 true-positive and 124 true-negative cases of subcarinal adenopathy were found in 161 patients. ...

A 34-year-old nonsmoking African-American woman with a history of childhood asthma presented to her internist with 25 h of right-sided chest pain and shortness of breath. The initial physical examination was remarkable for a respiratory rate of 28; heart rate, 140 bpm; and absent breath sounds on the right. A portable chest radiograph revealed a large right pneumothorax. She was treated with tu...