Chest wall TB in a 15-month-old girl
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Case presentation

A 15 month-old girl was referred to the emergency room of our institution because of the appearance of a progressively increasing right painless parasternal swelling.

The girl had been admitted 2 weeks before in a hospital in Romania where chest wall ultrasonography (US), chest X-ray and chest computed tomography (CT) scan had been performed (Figure 1a, b). The US study revealed a well circumscribed, 25 mm per 9 mm in size, hypoechoic collection adherent to the cartilagean rib. Chest x-ray showed enlargement of hilar lymph nodes and right lung consolidation. Chest CT scan showed parenchymal consolidation with area of calcification in the right lower lobe, bilateral area of atelectasis, mediastinal and hilar lymph node enlargement, a patchy hypoechoic mass adjacent to the 10th right cartilagean rib. Because of the association of chest wall swelling and lung lesion, a tumor was suspected and a bone marrow aspirate was performed, which ruled out neoplastic infiltration. A surgical management of both bone and parenchymal lesions was proposed by doctors, but parents refused and sought care at our hospital.....

https://ijponline.biomedcentral.com/articles/10.1186/1824-7288-38-12
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