{"id":5988,"date":"2007-11-25T06:27:00","date_gmt":"2007-11-25T06:27:00","guid":{"rendered":"https:\/\/dev.hkts.hku.yakoo.com.hk\/?post_type=professional-edu&#038;p=5988"},"modified":"2025-09-29T06:28:23","modified_gmt":"2025-09-29T06:28:23","slug":"2007-nov-25-ars-clinical-summary-a-young-man-with-cough","status":"publish","type":"professional-edu","link":"https:\/\/dev.hkts.hku.yakoo.com.hk\/zh-hant\/professional-edu\/2007-nov-25-ars-clinical-summary-a-young-man-with-cough\/","title":{"rendered":"2007 Nov 25 &#8211; ARS Clinical Summary: A Young Man with Cough"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">Dr. Yan Sze Wan and Dr Yew Wing Wai<br>TB and Chest Unit, Grantham Hospital<\/h3>\n\n\n\n<p>Case History and Physical Examination<\/p>\n\n\n\n<p>A young man aged thirty-seven presented himself fifteen years ago with cough since his childhood. He reported frequent bronchitic symptoms with expectoration of whitish sputum. In one of the episodes, he noticed some blood tinge.<\/p>\n\n\n\n<p>On physical examination he had normal body built. There was no clubbing of fingers. Chest examination was unremarkable alongside with other systems. Chest x-ray showed a retrocardiac shadow (Figure 1).<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"705\" height=\"342\" src=\"https:\/\/dev.hkts.hku.yakoo.com.hk\/wp-content\/uploads\/2025\/09\/20171120122001_54813.jpg\" alt=\"\" class=\"wp-image-5989\" srcset=\"https:\/\/dev.hkts.hku.yakoo.com.hk\/wp-content\/uploads\/2025\/09\/20171120122001_54813.jpg 705w, https:\/\/dev.hkts.hku.yakoo.com.hk\/wp-content\/uploads\/2025\/09\/20171120122001_54813-300x146.jpg 300w\" sizes=\"auto, (max-width: 705px) 100vw, 705px\" \/><\/figure>\n\n\n\n<p>Investigations<\/p>\n\n\n\n<p>Blood tests showed normal haemoglobin. There was no systemic leucocytosis and the differential count showed normal level of eosinophil. Biochemistry for liver and renal function tests was unremarkable. Multiple sputum specimens showed negative findings for cytology examination and no acid fast bacilli were identified. CT thorax revealed a shadow at posterior basal segment of left lower lobe (figure 2).<\/p>\n\n\n\n<p>Further investigation with fibreoptic bronchoscopy showed no endobronchial lesion. Transbronchial biopsy at left lower lobe was unrevealing.<\/p>\n\n\n\n<p>More advanced imaging study with 3\u2013dimensional Magnetic Resonance Angiography (MRA) demonstrated the arterial supply from the descending thoracic aorta to the left lower lobe (figure 3)<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"715\" height=\"375\" src=\"https:\/\/dev.hkts.hku.yakoo.com.hk\/wp-content\/uploads\/2025\/09\/20171120122011_18429.jpg\" alt=\"\" class=\"wp-image-5992\" srcset=\"https:\/\/dev.hkts.hku.yakoo.com.hk\/wp-content\/uploads\/2025\/09\/20171120122011_18429.jpg 715w, https:\/\/dev.hkts.hku.yakoo.com.hk\/wp-content\/uploads\/2025\/09\/20171120122011_18429-300x157.jpg 300w\" sizes=\"auto, (max-width: 715px) 100vw, 715px\" \/><\/figure>\n\n\n\n<p>Diagnosis: Sequestration of Lung<\/p>\n\n\n\n<p>Literature Review<br>Please refer to Question 3 of \u201cPractical Corner\u201d section on page 26<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\"><\/div>\n","protected":false},"featured_media":0,"parent":0,"template":"","meta":{"_acf_changed":true,"ngg_post_thumbnail":0},"professional-education-category":[97,91],"class_list":["post-5988","professional-edu","type-professional-edu","status-publish","hentry","professional-education-category-ars","professional-education-category-meetings"],"acf":[],"_links":{"self":[{"href":"https:\/\/dev.hkts.hku.yakoo.com.hk\/zh-hant\/wp-json\/wp\/v2\/professional-edu\/5988","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev.hkts.hku.yakoo.com.hk\/zh-hant\/wp-json\/wp\/v2\/professional-edu"}],"about":[{"href":"https:\/\/dev.hkts.hku.yakoo.com.hk\/zh-hant\/wp-json\/wp\/v2\/types\/professional-edu"}],"wp:attachment":[{"href":"https:\/\/dev.hkts.hku.yakoo.com.hk\/zh-hant\/wp-json\/wp\/v2\/media?parent=5988"}],"wp:term":[{"taxonomy":"professional-education-category","embeddable":true,"href":"https:\/\/dev.hkts.hku.yakoo.com.hk\/zh-hant\/wp-json\/wp\/v2\/professional-education-category?post=5988"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}