Bilateral Cavitary Lung Adenocarcinoma In A Young Lady: A Rare Case Report With Review Of Literature

A mucinous variant of bronchioloalveolar carcinoma is described as a rare variant of invasive adenocarcinoma and is characterized radiologically by consolidation, groundglass opacity, and nodules. Here, we report the case of a young lady with multiple cavitary disease presented with respiratory failure and mimicking as tuberculosis, pneumonia, vasculitis but initial laboratory investigations and bronchoscopy couldn’t clinch the diagnosis. Later on, CT-guided biopsy confirmed the diagnosis of mucinous bronchoalveolar carcinoma. Immunohistochemistry for TTF-1, EGFR, ALK, ROS mutation had been sent but the patient requested to discharge, have been put on EGFR inhibitor Gefitinib 250 mg once a day considering adenocarcinoma, female, Asian origin but couldn’t turn-up to review further details. The clinician should be aware of the cavitary presentation of adenocarcinoma of lung even in younger patients where the most common differential is tuberculosis

Tuberculosis Of The Azygous Lobe Of Lung: Case Report And Review Of Literature

The Azygous lobe is usually an incidental finding in chest x ray PA view. Although pulmonary tuberculosis is common in India, involvement of the azygous lobe by this disease has never been reported in literature to the best of our knowledge. We describe the case of a patient with tuberculosis of the azygous lobe of the lung. The patient presented with a normal chest x-ray PA view. Further investigations revealed pulmonary tuberculosis of the azygous lobe and the patient improved with anti-tuberculosis therapy.