Chronic expanding hematoma in the chest.
Chronic expanding hematoma in the chest is identified as a specific type of chronic empyema. We encountered a case of chest chronic expanding hematoma presenting as a huge mass, which compressed the heart, trachea and esophagus. The disease was recognized as a cause of aspiration pneumonia and was successfully treated by surgical resection. Computed tomography revealed a large area of calcifications at the periphery of the mass. Magnetic resonance T2-weighted imaging indicated the mosaic patterns of various signal intensities as specific features of chronic expanding hematoma. Imaging diagnosis showed good correlation with pathology of the disease.
Kuronuma
Koji
K
The Third Department of Internal Medicine, Social Welfare Corporation Hokkaido Social Work Association Obihiro Hospital. kuronumak@yahoo.co.jp
Ootake
Setsuyuki
S
Ikeda
Kimiyuki
K
Taniguchi
Masayuki
M
Takezawa
Chikako
C
Takahashi
Hiroki
H
D000368:Aged; D006406:Hematoma / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011015:Pneumonia, Aspiration / Q000209:etiology; D013902:Radiography, Thoracic; D013898:Thoracic Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed