7

AML with t(8,21) revealed by:

Fever

night sweat

weight loss for 4 months

acute abdomen mimicking appendicitis 3 days before admission

・ Chest X-ray: normal

・ CT-scan of whole body: Lung nodule of the upper lobe of the left lung, atelectasis of the lower lobe, pleural effusion, hepatic lesion, thickening of the terminal ileum, mesenteric LN, and minimal pelvis free fluids

8

AML with trisomy 13 revealed by:

Fever

night sweat

weight loss

cough

anemia symptoms

・ Chest X-ray: normal

・ CT scan: ground glass appearance in the right upper lung, mild bilateral pleural effusion with underlying relaxation collapse, mediastinal and retroperitoneal LN

9

AML intermediate risk revealed by:

fever,

chills,

cough,

night sweats and weight loss for 4 weeks.

At day 4 of induction, he developed respiratory distress, intubated and transferred to MICU.

・ Chest X-ray: normal

・ CT-scan: Mediastinal lymph nodes, absence of lung infiltration.

10

AML/MDS with monosomy 7 revealed by fever and anemia symptoms.

・ Chest X-ray: normal

・ CT scan: Lung nodule and mediastinal LNs

11

Pulmonary tuberculosis and LN preceding the diagnosis of AML by 4 months

・ Chest X-ray: normal

・ CT scan of whole body before chemotherapy: mediastinal LN with central necrosis and lung fibrotic bands

12

AML intermediate risk revealed by:

Fever

Coughs

Dyspnea

chest pain

hemoptysis

night sweats and weight loss >1 month.

Known to have TB 2 months before diagnosis of AML. Not adequately treated.

・ Chest X-ray: Lung consolidation

・ CT scan: Multiple lung consolidations and infiltration, mild pleural effusion, multiple tiny nodulariies within both lungs. Axillary LN.