CASE 370:PLEURAL EFFUSION, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 21 yo  fever and  cough , thorax pain in breathing

Chest XRays suspection  of pleural effusion.

CT scan  with CE of the chest:

CT1: cross- section=.pleural effusion both 2 sites.

CT2 .frontal section.

CT3:   frontal section in anterior  mediastium detected  one mass at retrosternum.

Blood test of WBC not raising.

Pleural tap  removed  yellowish liquid, but  analysis was lower ADA level.

TRANS THORACIC ULTRASOUND AT SUPRASTERNUM DETECTED ONE   RETROSTERNUM MASS, LOOKED LIKE LYMPH NODE (US1).

PLEURO-ENDOSCOPY FOR EXPLORATION= NON DETECTED  INTRA PLEURAL LESION AND REMOVED THIS  RETROSTERNUM MASS( MACRO)

MICROSCOPIC REPORT  THIS MASS IS NORMAL TISSUE OF THYMUS GLAND.