A painless chest swelling.
- Author:
Panduru Venkata KISHORE
;
Luke MATHEW
;
Ezatul AZAHARI
;
Osama ABOUZEID
;
Manoj PETHE
- Publication Type:Journal Article
- From:Brunei International Medical Journal
2010;6(2):99-99
- CountryBrunei Darussalam
- Language:English
-
Abstract:
A 41-year-old Indonesian lady, non-diabetic, immune-competent, presented with complaints of
painless swelling at the lower end of the neck, increasing in size for the past two months. There
was history of cough with scanty expectoration for the past one year with insignificant loss of appetite
and weight. Local examination showed a 4.5 cm × 6 cm fluctuating non-tender swelling
with erythematous overlying skin but no draining point (Panel). On general examination there is
no clubbing or lymphadenopathy. Respiratory examination revealed few crepitations over the
right infra-clavicular area. Rest of the systemic examination is unremarkable. Her blood investigations
showed elevated erythrocyte sedimentation rate (ESR) of 46 mm/hr. Full blood count,
liver profiles and renal functions were all normal. A chest radiography was taken.
Q: What is the diagnosis?
Answer: refer to page 113
