A 26‐yr-old female with persistent cough

Abstract

A 26-yr-old female was referred to the Chest Dept of the Pamukkale University Medical School, Turkey, for the investigation of coughing and abnormal chest roentgenogram. She suffered flu 3 weeks prior to this and her coughing was persisting since then. She denied fever, phlegm, dyspnoea, wheeze, night sweats and haemoptysis. Before a splenectomy at aged 18 yrs, blood transfusions had been applied monthly.Physical

Paravertebral Mass in a Patient with Hemolytic Anemia: Computed Tomographic Findings

“…Extramedullary hematopoiesis occurs as a compensatory response in various congenital hemolytic anemias, such as thalassemia, sickle cell anemia and hereditary spherocytosis, as well as in myeloproliferative disorders, such as leukemia, lymphoma, myelodysplasia, and myelofibrosis [3, 5, 7, 8]. …”

“…Although the most common sites of EMH are the liver, spleen, and lymph nodes, diffuse microscopic infiltration of kidney, adrenal gland, lung, pleura, skin, breasts, dura-mater, ovary, thymus, gastrointestinal tract, and central nervous system have also been reported in [2, 7, 8]. …”

“…IEH is a rare and usually asymptomatic condition, although occasional symptoms may be associated with complications, as hemothorax, pleural effusion, or spinal cord compression [1, 6, 7]. …”

“…CT scans show homogeneous soft-tissue attenuation masses, with characteristics similar to those described on chest X-rays and which may or may not be enhanced after the administration of intravenous contrast [1, 3, 5, 7–9]. This method demonstrates with accuracy the internal structure of the masses [5, 8].…”

“…Because of the highly vascular nature of the masses, biopsy and surgical resection should be avoided in order to prevent hemorrhage [4–7]. …”