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Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Differentiating Bronchogenic cyst from other Diseases

Introduction

Overview

Overview

Bronchogenic cyst must be differentiated from lung abcess, thymic cyst, and esophageal duplication cysts

Differentiating Bronchogenic cyst from other Diseases

Differentiating Bronchogenic cyst from other Diseases

Differentiating bronchogenic cyst from lung abcess, thymic cyst, and esophageal duplication cysts

Diseases Clinical manifestations Para-clinical findings Gold standard
Symptoms Physical examination
Lab Findings Imaging Histopathology
Symptom 1 Symptom 2 Symptom 3 Physical exam 1 Physical exam 2 Physical exam 3 Lab 1 Lab 2 Lab 3 Imaging 1 Imaging 2 Imaging 3
Lung abcess[1] Fever Chest pain night sweats Dullness to percussion coarse inspiratory crackles Decreased breath sounds Leukocytosis Increased inflamatory markers (ESR, CRP) Anemia of chronic disease
Frontal view of CXR showing lung abscess with air-fluid level. Case courtesy of Dr Abu-Rahmeh Zuhair (Picture courtesy: Radiopaedia)
Lateral view 0f CXR showing lung abscess with air-fluid level. Case courtesy of Dr Abu-Rahmeh Zuhair (Picture courtesy: Radiopaedia)
Non-contrast CT showing lung abscess with air-fluid levels. Case courtesy of Dr Elsayed Mohamed Elsayed (Picture courtesy: Radiopaedia)
H&E stain showing lung abscess. Arrowhead – pink necrotic tissue with necrotic granulocytes and bacteria. Arrow – chronic inflammatory cells and dilated blood vessels (Picture courtesy: Webpath)
 CT with intravenous contrast
Thymic cyst[2] Cough Chest pain Dyspnea Some patients may present with a soft compressible neck mass – – – – –
x-ray scan showing a thymic mass (yellow arrowhead). Case courtesy of Dr. Stefan Ludwig (Picture courtesy: Radiopaedia)
CT scan showing a thymic mass corresponds to a cystic lesion (yellowarrow head). Case courtesy of Dr. Stefan Ludwig (Picture courtesy: Radiopaedia)
CT scan showing a calcified thymic mass corresponds to a cystic lesion (yellow arrowhead). Case courtesy of Dr Bruno Di Muzio (Picture courtesy: Radiopaedia)
H&E stain of thymic cyst showing bland squamous epithelium and some thymic tissue in its wall. Case courtesy of Dr Hanni Gulwani (Picture courtesy: Pathologyoutlines)
 Biopsy withhistopathology and cytology
Esophageal duplication cysts[2][3][2] Retrosternal and thoracic back pain Epigastric discomfort Dysphagia – – – – – –
endoscopic view of an esophageal duplication cyst (Picture courtesy: Endoscopic ultrasound)
X-ray post barium swallow showing an oval mass compressing the esophagus. Case courtesy of Dr Michael P Hartung (Picture courtesy: Radiopaedia)
CT showing an esophageal duplication cyst. Case courtesy of Assoc Prof Craig Hacking (Picture courtesy: Radiopaedia)
Histologic image of an esophageal duplication cyst showing two-layered muscle coat like the GIT, and epithelium lining of pseudo-ciliated columnar cells. (Picture courtesy: National Center for Biotechnology Information)
 Endoscopic ultrasound
  • Anechoic or hypoechoic, homogenous lesions
  • Regular margins originating from the submucosal layer or outside of the gut wall(adventitia)

Overview

Bronchogenic cyst must be differentiated from lung abcess, thymic cyst, and esophageal duplication cysts

Differentiating Bronchogenic cyst from other Diseases

Differentiating bronchogenic cyst from lung abcess, thymic cyst, and esophageal duplication cysts

Diseases Clinical manifestations Para-clinical findings Gold standard
Symptoms Physical examination
Lab Findings Imaging Histopathology
Symptom 1 Symptom 2 Symptom 3 Physical exam 1 Physical exam 2 Physical exam 3 Lab 1 Lab 2 Lab 3 Imaging 1 Imaging 2 Imaging 3
Lung abcess[1] Fever Chest pain night sweats Dullness to percussion coarse inspiratory crackles Decreased breath sounds Leukocytosis Increased inflamatory markers (ESR, CRP) Anemia of chronic disease
Frontal view of CXR showing lung abscess with air-fluid level. Case courtesy of Dr Abu-Rahmeh Zuhair (Picture courtesy: Radiopaedia)
Lateral view 0f CXR showing lung abscess with air-fluid level. Case courtesy of Dr Abu-Rahmeh Zuhair (Picture courtesy: Radiopaedia)
Non-contrast CT showing lung abscess with air-fluid levels. Case courtesy of Dr Elsayed Mohamed Elsayed (Picture courtesy: Radiopaedia)
H&E stain showing lung abscess. Arrowhead – pink necrotic tissue with necrotic granulocytes and bacteria. Arrow – chronic inflammatory cells and dilated blood vessels (Picture courtesy: Webpath)
 CT with intravenous contrast
Thymic cyst[2] Cough Chest pain Dyspnea Some patients may present with a soft compressible neck mass – – – – –
x-ray scan showing a thymic mass (yellow arrowhead). Case courtesy of Dr. Stefan Ludwig (Picture courtesy: Radiopaedia)
CT scan showing a thymic mass corresponds to a cystic lesion (yellowarrow head). Case courtesy of Dr. Stefan Ludwig (Picture courtesy: Radiopaedia)
CT scan showing a calcified thymic mass corresponds to a cystic lesion (yellow arrowhead). Case courtesy of Dr Bruno Di Muzio (Picture courtesy: Radiopaedia)
H&E stain of thymic cyst showing bland squamous epithelium and some thymic tissue in its wall. Case courtesy of Dr Hanni Gulwani (Picture courtesy: Pathologyoutlines)
 Biopsy withhistopathology and cytology
Esophageal duplication cysts[2][3][2] Retrosternal and thoracic back pain Epigastric discomfort Dysphagia – – – – – –
endoscopic view of an esophageal duplication cyst (Picture courtesy: Endoscopic ultrasound)
X-ray post barium swallow showing an oval mass compressing the esophagus. Case courtesy of Dr Michael P Hartung (Picture courtesy: Radiopaedia)
CT showing an esophageal duplication cyst. Case courtesy of Assoc Prof Craig Hacking (Picture courtesy: Radiopaedia)
Histologic image of an esophageal duplication cyst showing two-layered muscle coat like the GIT, and epithelium lining of pseudo-ciliated columnar cells. (Picture courtesy: National Center for Biotechnology Information)
 Endoscopic ultrasound
  • Anechoic or hypoechoic, homogenous lesions
  • Regular margins originating from the submucosal layer or outside of the gut wall(adventitia)

References

  1. ↑ Kuhajda I, Zarogoulidis K, Tsirgogianni K, Tsavlis D, Kioumis I, Kosmidis C; et al. (2015). “Lung abscess-etiology, diagnostic and treatment options”. Ann Transl Med. 3 (13): 183. doi:10.3978/j.issn.2305-5839.2015.07.08. PMC 4543327. PMID 26366400.
  2. ↑ 2.0 2.1 2.2 Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L (2013). “A diagnostic approach to the mediastinal masses”. Insights Imaging. 4 (1): 29–52. doi:10.1007/s13244-012-0201-0. PMC 3579993. PMID 23225215.
  3. ↑ Liu R, Adler DG (2014). “Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound”. Endosc Ultrasound. 3 (3): 152–60. doi:10.4103/2303-9027.138783. PMC 4145475. PMID 25184121.

Cardiology

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Joanna Ekabua, M.D. [2]

References

References

  1. ↑ Kuhajda I, Zarogoulidis K, Tsirgogianni K, Tsavlis D, Kioumis I, Kosmidis C; et al. (2015). “Lung abscess-etiology, diagnostic and treatment options”. Ann Transl Med. 3 (13): 183. doi:10.3978/j.issn.2305-5839.2015.07.08. PMC 4543327. PMID 26366400.
  2. ↑ 2.0 2.1 2.2 Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L (2013). “A diagnostic approach to the mediastinal masses”. Insights Imaging. 4 (1): 29–52. doi:10.1007/s13244-012-0201-0. PMC 3579993. PMID 23225215.
  3. ↑ Liu R, Adler DG (2014). “Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound”. Endosc Ultrasound. 3 (3): 152–60. doi:10.4103/2303-9027.138783. PMC 4145475. PMID 25184121.

Cardiology

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Joanna Ekabua, M.D. [2]