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KMID : 0383820140760020088
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Tuberculosis and Respiratory Diseases
2014 Volume.76 No. 2 p.88 ~ p.92
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Non-infected and Infected Bronchogenic Cyst: The Correlation of Image Findings with Cyst Content
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Jeon Hong-Gil
Park Ju-Hwan
Park Hye-Min
Kwon Woon-Jung
Cha Hee-Jeong
Lee Young-Jik
Park Chang-Ryul
Jegal Yang-Jin
Ahn Jong-Joon
Ra Seung-Won
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Abstract
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We hereby report a case on bronchogenic cyst which is initially non-infected, then becomes infected after bronchoscopic ultrasound (US)-guided transesophageal fine-needle aspiration (FNA). The non-infected bronchogenic cyst appears to be filled with relatively echogenic materials on US, and the aspirate is a whitish jelly-like fluid. Upon contrast-enhanced MRI of the infected bronchogenic cyst, a T1-weighted image shows low signal intensity and a T2-weighted image shows high signal intensity, with no enhancements of the cyst contents, but enhancements of the thickened cystic wall. The patient then undergo video-assisted thoracic surgery 14 days after the FNA. The cystic mass is known to be completely removed, and the aspirate is yellowish and purulent. To understand the image findings that pertain to the gross appearance of the cyst contents will help to diagnose bronchogenic cysts in the future.
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KEYWORD
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Bronchogenic Cyst, Ultrasonography, Magnetic Resonance Imaging, Infection
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