RESUMO
Rhinosporidiosis is one of the granulomatous diseases endemic in Asia, Africa, and Europe, with Southern India and Sri Lanka having the greatest prevalence rates. It is typically understood to affect the upper respiratory system. Involvement of the lungs beyond the trachea is infrequent as compared to the upper respiratory tract. We revealed an uncommon case of disseminated rhinosporidiosis in a diabetic patient, who initially presented with shortness of breath associated with cough and fever. Two months prior to these symptoms, he was having oral ulcer and dysphagia and, subsequently, loss of weight. Chest radiograph and CT thorax revealed military nodules with multiple suppurative neck and mediastinal lymphadenopathy and bilateral adrenal lesions. He was initially investigated for tuberculosis, metastatic malignancy, or lymphangitic carcinomatosis before a biopsy revealed Rhinosporidiosis. Hence, histopathological or laboratory evidence is frequently crucial to back up imaging concerns so the appropriate treatment can be given.
RESUMO
This case series aims to describe the clinical presentation of mastitis, the conventional sonography and elastography findings, and histopathological features in the diagnosis of chronic mastitis. We present 3 cases of breast swelling in young ladies with one of the cases is related to breastfeeding with similar imaging appearance of complex breast cyst and the histopathology finding of chronic mastitis. We will describe the role of elastography in evaluating and differentiating the benign and malignant complex breast cyst.