Abalı Hülya
Department of Chest Diseases, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Türkiye.
Turk Gogus Kalp Damar Cerrahisi Derg. 2022 Jul 29;30(3):462-465. doi: 10.5606/tgkdc.dergisi.2022.20482. eCollection 2022 Jul.
A 64-year-old female patient was admitted to our outpatient clinic with pleuritic chest pain, non-productive cough, and dyspnea. She expectorated three stones (lithoptysis) before bronchoscopy. She underwent positron emission tomography-computed tomography, which revealed a hyper metabolic mass in the right upper lobe of her lung. Three months later, the mass formation appeared as a patchy consolidation in the first control thoracic computed tomography examination. In conclusion, postobstructive consolidation due to broncholithiasis, which is very rare, should be kept in mind in the differential diagnosis of hyper metabolic mass. The simplest incidental diagnostic finding of broncholithiasis is the rare lithoptysis.
一名64岁女性患者因胸膜炎性胸痛、干咳和呼吸困难入住我院门诊。在支气管镜检查前，她咳出了三块结石（咯石症）。她接受了正电子发射断层扫描-计算机断层扫描，结果显示其右肺上叶有一个高代谢肿块。三个月后，在首次胸部CT对照检查中，肿块形成表现为斑片状实变。总之，支气管结石症导致的阻塞后实变非常罕见，在鉴别诊断高代谢肿块时应予以考虑。支气管结石症最简单的偶然诊断发现是罕见的咯石症。
