Anand Patel

Pleural tuberculosis presented as multiple pleural masses: An atypical presentation.

Tuberculous involvement of the pleura usually presents as pleural effusion, empyema or pleural thickening. Pleural tuberculosis presenting with multiple masses without parenchymal involvement or lymphadenopathy has been reported rarely in the English literature. We report a case of a 68-year-old male with unilateral pleural tuberculosis presenting as multiple different sized nodular masses evident on computed tomography (CT) of the chest with a large hemorrhagic pleural effusion, which initially raised a possibility of mesothelioma. Pleuroscopy also revealed multiple pleural masses. Pathological examination of the biopsy specimen showed multiple epitheloid cell granulomas confirming the diagnosis.

Partial duplication of the trachea in an adult: an accidental finding on bronchoscopy.

Partial duplication of the trachea is a very rare congenital tracheal anomaly that is detected during infancy. To our knowledge, there are only 3 reported cases of partial duplication of the trachea in the literature, which were all detected during infancy. We are reporting the first case of partial duplication of the trachea in an adult, which was detected accidentally during routine diagnostic bronchoscopy. Partial duplication of the trachea can easily be misdiagnosed as an accessory bronchus or congenital tracheal diverticulum, if it is not carefully evaluated. It is possible that similar cases in the past may have been misdiagnosed as tracheal bronchus or congenital tracheal diverticulum on bronchoscopy.