By Silva, Müller
Read or Download The Teaching Files - Chest PDF
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Extra info for The Teaching Files - Chest
Sample text
AJR Am J Roentgenol 158:1211-1215, 1992. Online Case 9 DEMOGRAPHICS/CLINICAL HISTORY The patient is a 77-year-old man with fever, cough, headaches, and diarrhea. become bilateral. Progression of pneumonia usually is rapid, with most of a lobe becoming involved within 3 or 4 days, often despite the institution of appropriate antibiotic therapy. Less Common Radiologic Manifestations FINDINGS Chest radiograph shows a right upper lobe consolidation and a small, right pleural effusion (Fig. 1). , round pneumonia).
The most common diseases in which the abnormality is identified are idiopathic pulmonary fibrosis (Fig. 4), connective tissue disease, and sarcoidosis. Single or multiple cysts that are typically superimposed on ground-glass opacities are seen in approximately 60% of patients with LIP and 13% to 40% of patients with hypersensitivity pneumonitis. The cysts in LIP are usually few and tend to involve mainly the lower lung zones; occasionally, LIP may result in extensive cyst formation. Cystic spaces are seen in approximately Case 14 29 Figure 1.
Characteristic Radiologic Findings The most frequent radiographic manifestation of pulmonary nocardiosis consists of homogeneous nonsegmental airspace consolidation, which is usually peripheral, abuts the adjacent pleura, and is often extensive. The 20 caused by other organisms The diagnosis should be suspected in patients with slowly progressing, extensive consolidation, particularly when associated with cavitation and pleural, chest wall, or mediastinal extension. In many cases, the radiologic findings are nonspecific.
