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Tuberculous pulmonary pneumatocele communicating extrathoracically

¹ Department of Surgery, Government Medical College and Sir Sayajirao General Hospital, Baroda, Gujarat, India
² Department of Microbiology, Government Medical College and Sir Sayajirao General Hospital, Baroda, Gujarat, India

Correspondence to:
Correspondence to:
Dr D D Duttaroy
Department of Surgery, Government Medical College and Sir Sayajirao General Hospital, Baroda, Gujarat, India 390001; drduttaroy@gmail.com

Keywords: compressible swelling; cough; consolidation; pneumatocele; tuberculosis

The first 150 words of the full text of this article appear below.

A 40 year old man presented with swelling over his right upper chest for the previous 8 months. He had also had low grade fever, cough with mucoid expectoration, weight loss, and breathlessness on exertion for 2 months. The swelling initially appeared in the right infraclavicular region and gradually increased in size. The swelling could be decreased in size on application of local pressure, but it regained its original size when the pressure was released. He had been treated elsewhere for pulmonary tuberculosis (TB) 3 years previously and had had an abscess below the right clavicle drained 1 year earlier.

Examination revealed a 20 x 18 cm smooth swelling in the right pectoral region (fig 1) with a ragged scar just below the right sternoclavicular joint. The swelling was soft, compressible, transilluminant, and became tense on coughing and deep inspiration. A chest radiograph (fig 2) revealed a large . . . [Full text of this article]