Initial appearance of an ill-defined shadow on a chest roentgenogram in a patient with aortitis syndrome.
A 20-years-old woman with fever and an abnormal shadow on a chest roentgenogram was admitted to our hospital. High grade fever continued even after gradual disappearance of the ill-defined shadow on the right upper lobe (S3) with minor fissure deviation upward, while neck pain and bruit gradually developed. She was diagnosed as aortitis syndrome from a digital subtraction angiography. The initial appearance of an ill-defined shadow on a chest roentgenogram, considered as pulmonary infarction, is rare in the aortitis syndrome and this kind of onset is interesting in relation to the pathogenesis and diagnosis of this syndrome.
National Sanatorium Toneyama Hospital, Osaka, Japan.
S
S
Imanaka
E
E
Ueda
S
S
Morimoto
T
T
Ogihara
E
E
Tsubura
D015901:Angiography, Digital Subtraction; D001014:Aortic Aneurysm; D001015:Aortic Arch Syndromes / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000473:pathology