Chest X-ray in Sarcoidosis: The Association of Age, Gender, and Ethnicity with Different Radiological Findings

2018 ◽  
Vol 13 (4) ◽  
pp. 241-246 ◽  
Author(s):  
Saif Aldeen AlRyalat ◽  
Mohammad Al-Essa ◽  
Rawan Ghazal ◽  
Enas Abusalim ◽  
Dia Mobaideen ◽  
...  
Keyword(s):  
Radiological Findings ◽  
X Ray ◽  
Chest X Ray

Retrospective Review of Clinical and Chest X-Ray Findings in Children Admitted to a Community Hospital for Respiratory Syncytial Virus Infection

2018 ◽  
Vol 57 (14) ◽  
pp. 1686-1692 ◽  
Author(s):  
Denver Niles ◽  
Brett Larsen ◽  
Arvind Balaji ◽  
Dana Delaney ◽  
Elizabeth Campos ◽  
...  
Keyword(s):  
Respiratory Syncytial Virus ◽  
Pediatric Intensive Care ◽  
Clinical Findings ◽  
X Rays ◽  
Radiological Findings ◽  
X Ray ◽  
Severe Group ◽  
Rsv Infection ◽  
Chest X Ray ◽  
Syncytial Virus

Introduction. We performed a retrospective study to evaluate demographics, clinical course, outcome, and radiological findings of children with respiratory syncytial virus (RSV) infection. Methods. Four hundred patients admitted between October 2013 and May 2016 were enrolled. Clinical and radiographic trends were evaluated for association with severity of RSV presentation. Severity was defined as hospitalization >2 days, pediatric intensive care unit admission, or need for mechanical ventilation. Results. Common clinical findings included fever (78.5%), coughing (97%), rhinorrhea/congestion (93%), and hypoxia (44.8%). Hypoxia was seen in 64.7% of the severe group compared with 32.0% in the nonsevere group ( P < .001). Airspace opacification was seen in 49.2% of chest X-rays of the severe group compared with 26.4% in the nonsevere group ( P < .001). Conclusion. Higher incidence of hypoxia or airspace opacification on chest X-ray may be predictors of poorer outcomes for patients with RSV infection.

scholarly journals Imaging of COVID-19 pneumonia in children

2020 ◽  
Vol 93 (1113) ◽  
pp. 20200647 ◽  
Author(s):  
Figen Palabiyik ◽  
Suna Ors Kokurcan ◽  
Nevin Hatipoglu ◽  
Sinem Oral Cebeci ◽  
Ercan Inci
Keyword(s):  
Pediatric Patients ◽  
Pediatric Population ◽  
Chest Ct ◽  
Ground Glass ◽  
Pathologic Finding ◽  
Radiological Findings ◽  
X Ray ◽  
Ct Findings ◽  
Chest X Ray ◽  
Single Lesion

Objective: Literature related to the imaging of COVID-19 pneumonia, its findings and contribution to diagnosis and its differences from adults are limited in pediatric patients. The aim of this study was to evaluate chest X-ray and chest CT findings in children with COVID-19 pneumonia. Methods: Chest X-ray findings of 59 pediatric patients and chest CT findings of 22 patients with a confirmed diagnosis of COVID-19 pneumonia were evaluated retrospectively. Results: COVID-19 pneumonia was most commonly observed unilaterally and in lower zones of lungs in chest X-ray examinations. Bilateral and multifocal involvement (55%) was the most observed involvement in the CT examinations, as well as, single lesion and single lobe (27%) involvement were also detected. Pure ground-glass appearance was observed in 41%, ground-glass appearance and consolidation together was in 36%. While peripheral and central co-distribution of the lesions (55%) were frequently observed, the involvement of the lower lobes (69%) was significant. In four cases,the coexistence of multiple rounded multifocal ground-glass appearance and rounded consolidation were observed. Conclusion: COVID-19 pneumonia imaging findings may differ in the pediatric population from adults. In diagnosis, chest X-ray should be preferred, CT should be requested if there is a pathologic finding on radiography that merits further evaluation and if clinically indicated. Advances in knowledge: Radiological findings of COVID-19 observed in children may differ from adults. Chest X-ray should often be sufficient in children avoiding additional irradiation, chest CT needs only be done in cases of clinical necessity.

scholarly journals Klajoklio nervo krūtininės dalies neurilemoma: klinikinis atvejis

2014 ◽  
Vol 13 (3) ◽  
pp. 200-203
Author(s):  
Renatas Aškinis ◽  
Arnoldas Krasauskas ◽  
Sigitas Zaremba ◽  
Saulius Cicėnas
Keyword(s):  
Rare Disease ◽  
Clinical Case ◽  
Clinical Symptoms ◽  
Chest Ct ◽  
Vagal Nerve ◽  
Surgical Removal ◽  
Radiological Findings ◽  
X Ray ◽  
Chest X Ray

Neurilemoma – periferinių nervų dangalų auglys. Jis auga lėtai ir pradžia dažniausiai būna besimptomė. Pasiekęs kritinį dydį auglys, priklausomai nuo atsiradimo vietos, pasireiškia spaudimo į aplinkinius organus klinika. Neurilemomos dažniausiai atsiranda galūnėse 30–50 gyvenimo metais nepriklausomai nuo lyties. Klajoklio nervo neurilemoma yra nedažna patologija, o krūtininės klajoklio nervo dalies neurilemoma pasitaiko itin retai. Diagnozuojant svarbiausi yra radiologiniai tyrimo metodai. Gydymas – chirurginis auglio pašalinimas. Pateikiame krūtininės klajoklio nervo dalies neurilemomos, nustatytos 39 metų moteriai, klinikinį atvejį. Auglys aptiktas radiologiniais tyrimais (krūtinės rentgeno, kompiuterinės tomografijos ir tarpuplaučio magnetinio branduolių rezonanso), pašalintas naudojant vaizdo torakoskopinę (VATS) metodiką. Diagnozė galutinai patvirtinta histologiniu tyrimu. Aštuntą parą po operacijos ligonė išrašyta į namus.Reikšminiai žodžiai: neurilemoma, klajoklis nervas, operacija Neurilemoma of intrathoracal vagal nerve: clinical caseRenatas Aškinis, Arnoldas Krasauskas, Sigitas Zaremba, Saulius Cicėnas Neurilemoma is a tumour of peripleurical nervous tissues. It grows slowly and has an asymptomatic manifestation. During tumour enlargement, depending on localisation, clinical symptoms appear because of the tumour pressure to the surrounding tissues. Mostly neurilemomas appear in extremities of patients aged 30–50 years. N. vagus neurilemoma is a very rare disease. The diagnosis is made using radiology. The treatment is surgical removal. We present a clinical case of intrathoracal n. vagus neurilemoma in a 39-year-old woman. The diagnosis was made using radiological findings (chest X-ray, chest CT, and the MRI of the mediastinum). The removal of the tumour was made by VATS. The diagnosis was proved morphologically. After 8 days, the patient was discharged from the hospital.Key words: neurilemoma, vagal nerve, operation

scholarly journals Early Onset Favipiravir Saves Lives

2021 ◽  
Author(s):  
Ercan KARATAS ◽  
Lacin Aksoy ◽  
Pinar Elbir Kilic ◽  
Arzu Dogru ◽  
Ersin Ozaslan
Keyword(s):  
Oral Treatment ◽  
Clinical Findings ◽  
Treatment Resistant ◽  
Radiological Findings ◽  
Start Time ◽  
Laboratory Findings ◽  
X Ray ◽  
Chest X Ray ◽  
New Type ◽  
Clinical Worsening

Abstract Background Favipiravir, an antiviral recommended for use in patients with tachypnea (respiratory rate 30 / min) in COVID-19 pneumonia, with SpO2 level below 90% in room air and with bilateral diffuse pneumonia on chest X-ray or tomography, or patients with treatment-resistant fever, is a new type of RNA-dependent RNA polymerase (RdRp) inhibitor. After the administration of Favipiravir, it contributed significantly to reducing mortality in patients with severe COVID-19 positive disease. We performed this study to determine the start time in Favipiravir's covid pneumonia. Material and Method: We evaluated the effect of a total of 5 days of oral treatment as a 2 × 1600 mg loading dose and a 2 × 600 mg maintenance dose of Favipiravir added to the standard COVID-19 treatment received by patients with laboratory-radiology-clinical findings who have advanced or severe COVID 19 pneumonia. Results 180 patients hospitalized at Tuzla State Hospital and given Favipiravir treatment between 20/3/2020 and 30/5/2020 were examined. As of hospitalization, 17 of 101 patients (17%) who were given Favipiravir treatment in ≤ 3 days died, 30 of 79 patients (38%) who were given Favipiravir treatment for in > 3 days died (p:0.002). 33 of 47 patients (70%) who died were > 65 years old. Only 5 of the 47 (11%) patients who died had no comorbid disease. 35 had two or more comorbid diseases. Conclusion Patients with radiological findings indicating that COVID-19 will be severe and laboratory findings at the time of the first 3 days should be initiated with an effective dose of Favipiravir treatment without waiting for the clinical worsening.

TO CORRELATE ECG CHANGES AND CLINICO-RADIOLOGICAL FINDINGS WITH THE SEVERITY OF VSD.

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Deepak Kumar Uikey ◽  
Ankur Roy
Keyword(s):  
Pulmonary Hypertension ◽  
Ventricular Hypertrophy ◽  
Septal Defect ◽  
Left Ventricular ◽  
Age Group ◽  
Radiological Findings ◽  
Ecg Changes ◽  
X Ray ◽  
Chest X Ray ◽  
Grade Ii

Background & Method: This study was conducted in 56 children in age group of 02 months to 14 years with Echocardio graphically proved Ventricular Septal Defect, over a period of 01 and a half year, after taking consent from the parents and explaining them the purpose and method of this study. Result: Out of these 27 patients in 2 to 6 months age group, 11 were large VSDs, 16 were moderate VSDs and 2 were small VSDs. Out of 17 patients in age group 6 to 12 months, 10 patients were large VSDs, 5 patients had moderate VSDs and 3 patients were with small VSDs. Among patients with moderate VSDs only 4out of 25 patients had signs of right ventricular hypertrophy (16%). Left ventricular hypertrophy was evident clinically in 24 patients out of 25 (96%) & obviously no patients had biventricular hypertrophy. A loud ESM was heard (grade II-IV). Conclusion: Clinical examination can also suggest LVH in moderate VSD & sometimes BVH in large VSD, Palpable P2 and loud P2 are very important findings that suggest pulmonary hypertension. Pansystolic murmur is heard in small-moderate VSD and ESM in large VSD. Complications like CCF, pulmonary hypertension, malnutrition and FTT are mostly present in moderate-large VSD. Chest x-ray suggests cardiomegaly, plethora and also enlargement of PA segment in moderate –large VSD. Keywords: ECG, Clinico-radiological, VSD & Severity. Study Designed: Observational Study.

scholarly journals Investigation of Patients with Apparently Inoperable Lung Cancer

1996 ◽  
Vol 3 (5) ◽  
pp. 309-313
Author(s):  
Riyad Karmy-Jones ◽  
Eric Vallieres ◽  
Joseph W Lewis ◽  
George Dundas
Keyword(s):  
Lung Cancer ◽  
Palliative Radiotherapy ◽  
Radiological Findings ◽  
X Ray ◽  
Cancer Group ◽  
Surgical Cure ◽  
Chest X Ray ◽  
Rule Out ◽  
Bronchogenic Cancer

Over a three-year period, 30 patients were referred to a multidisciplinary lung cancer group for palliative radiotherapy of presumed unresectable bronchogenic cancer on the basis of radiological findings. Further investigation, including surgical staging, demonstrated that 10 were candidates for surgical resection. Nine patients are alive and free of disease at a median follow-up of 25.8 months. These results demonstrate that chest x-ray and computed tomography of the chest may not be specific enough to rule out the possibility of surgical cure.

scholarly journals ‘If not TB, what could it be?’ Chest X-ray findings from the 2016 Kenya Tuberculosis Prevalence Survey

Thorax ◽  
2021 ◽  
pp. thoraxjnl-2020-216123
Author(s):  
Brenda Nyambura Mungai ◽  
Elizabeth Joekes ◽  
Enos Masini ◽  
Angela Obasi ◽  
Veronica Manduku ◽  
...  
Keyword(s):  
Population Based ◽  
Sub Saharan Africa ◽  
Radiological Findings ◽  
Prevalence Survey ◽  
X Ray ◽  
Chest X Ray ◽  
Sub Saharan ◽  
Significant Disease ◽  
Tuberculosis Prevalence ◽  
Missed Opportunity

BackgroundThe prevalence of diseases other than TB detected during chest X-ray (CXR) screening is unknown in sub-Saharan Africa. This represents a missed opportunity for identification and treatment of potentially significant disease. Our aim was to describe and quantify non-TB abnormalities identified by TB-focused CXR screening during the 2016 Kenya National TB Prevalence Survey.MethodsWe reviewed a random sample of 1140 adult (≥15 years) CXRs classified as ‘abnormal, suggestive of TB’ or ‘abnormal other’ during field interpretation from the TB prevalence survey. Each image was read (blinded to field classification and study radiologist read) by two expert radiologists, with images classified into one of four major anatomical categories and primary radiological findings. A third reader resolved discrepancies. Prevalence and 95% CIs of abnormalities diagnosis were estimated.FindingsCardiomegaly was the most common non-TB abnormality at 259 out of 1123 (23.1%, 95% CI 20.6% to 25.6%), while cardiomegaly with features of cardiac failure occurred in 17 out of 1123 (1.5%, 95% CI 0.9% to 2.4%). We also identified chronic pulmonary pathology including suspected COPD in 3.2% (95% CI 2.3% to 4.4%) and non-specific patterns in 4.6% (95% CI 3.5% to 6.0%). Prevalence of active-TB and severe post-TB lung changes was 3.6% (95% CI 2.6% to 4.8%) and 1.4% (95% CI 0.8% to 2.3%), respectively.InterpretationBased on radiological findings, we identified a wide variety of non-TB abnormalities during population-based TB screening. TB prevalence surveys and active case finding activities using mass CXR offer an opportunity to integrate disease screening efforts.FundingNational Institute for Health Research (IMPALA-grant reference 16/136/35).

scholarly journals Klajoklio nervo krūtininės dalies neurilemoma: klinikinis atvejis

2012 ◽  
Vol 11 (3-4) ◽  
pp. 89-92
Author(s):  
Renatas Aškinis ◽  
Arnoldas Krasauskas ◽  
Sigitas Zaremba ◽  
Saulius Cicėnas
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Clinical Symptoms ◽  
Chest Ct ◽  
Vagal Nerve ◽  
Surgical Removal ◽  
Radiological Findings ◽  
X Ray ◽  
Chest X Ray ◽  
Nervus Vagus

Neurilemoma – periferinių nervų dangalų auglys, kuris auga lėtai ir jo pradžia dažniausiai būna besimptomė. Pasiekę kritinį dydį augliai, priklausomai nuo atsiradimo vietos, pasireiškia spaudimo į aplinkinius organus klinika. Neurilemomos dažniausiai atsiranda galūnėse 30–50-ais gyvenimo metais ir nuo lyties nepriklauso. Klajoklio nervo neurilemoma yra nedažna patologija, o krūtininės klajoklio nervo dalies neurilemoma pasitaiko itin retai. Diagnostikai svarbiausi yra radiologiniai tyrimo metodai. Gydymas – chirurginis auglio šalinimas. Pateikiame krūtininės klajoklio nervo dalies neurilemomos, nustatytos 39 metų moteriai, klinikinį atvejį. Auglys aptiktas radiologiniais tyrimais (krūtinės rentgeniniu, kompiuterinės tomografijos ir tarpuplaučio magnetinio branduolių rezonanso), pašalintas naudojant vaizdo torakoskopinę metodiką. Diagnozė galutinai patvirtinta histologiniu tyrimu. Aštuntą parą po operacijos ligonė išrašyta į namus.Reikšminiai žodžiai: neurilemoma, klajoklis nervas, operacija.Neurilemoma of intrathoracal vagal nerve: case report Neurilemoma is a tumour of peripleurical nervous tissues. It grows slowly and has an asymptomatic manifestation. During tumour enlargement, depending on its localization, clinical symptoms appear due to the tumour pressure to surrounding tissues. Neurilemomas mostly appear in the extremities of patients aged 30–50 years. N. vagus neurilemoma is a very rare disease. The diagnosis is made using radiology. Its treatment is surgical removal. We present a clinical case of intrathoracal nervus vagus neurilemoma in a 39-y woman. The diagnosis was based on radiological findings (chest X-ray, chest CT, and mediastinum MRI). The removal of the tumour was made by the VATS method. The diagnosis was proven morphologically. After 8 days the patient was discharged from the hospital.Key words: neurilemoma, vagal nerve, operation.

scholarly journals Radiological Diagnosis of Pediatric Pulmonary Infections and Follow up Protocols

2021 ◽  
pp. 45-55
Author(s):  
Naglaa Elsayed ◽  
Haya Albibi ◽  
Shatha Msawah ◽  
Omnia Asiri
Keyword(s):  
Respiratory Infection ◽  
Pediatric Patients ◽  
Respiratory Infections ◽  
Common Disease ◽  
Pulmonary Infections ◽  
Radiological Findings ◽  
X Ray ◽  
Chest X Ray ◽  
Program Version

Background and objectives: Respiratory infection is the second most common disease in pediatrics presented to the emergency department. Imaging modalities used for diagnosis, and follow up duration of each type of infection should be studied for best outcome for those patients. We aimed to find the optimum imaging follow up protocol for pediatrics with respiratory infections. Methods and Results: Retrospective study included 500 pediatric patients ranging in age from one month to 15 years, presented with respiratory infection. Radiological findings, numbers and results of follow up were collected and statistically analyzed using SPSS program version 23. Bronchitis represented the commonest finding (43%), followed by pneumonia (35%). All patients had initial chest X-ray. CT was done for 79 patients. 218 patients had radiological follow up. The number of follow up ranged from 1 to 51 with the average number was 26. Interpretation and Conclusions: Bronchitis is a clinical diagnosis that does not usually need imaging. Pneumonia is diagnosed clinically aided with X ray in severe cases and follow up may be needed after 4 weeks. X ray and CT are mandatory for the initial diagnosis of TB and follow up should be done after 6 months. Cystic fibrosis needs clinical follow up and annual imaging unless complications arise. Pulmonary abscess needs follow up after treatment.

Radiological findings in children with acute pneumonia: age more important than infectious agent

2005 ◽  
Vol 46 (4) ◽  
pp. 431-436 ◽  
Author(s):  
H. Wahlgren ◽  
W. Mortensson ◽  
M. Eriksson ◽  
Y. Finkel ◽  
M. Forsgren ◽  
...  
Keyword(s):  
Infectious Agent ◽  
Healing Time ◽  
Etiologic Agent ◽  
Radiological Findings ◽  
Viral Etiology ◽  
Serological Tests ◽  
X Ray ◽  
Acute Pneumonia ◽  
Radiological Healing ◽  
Chest X Ray

Purpose: To evaluate whether radiological findings and healing time in children with pneumonia are correlated to etiologic agent. Material and Methods: A total of 346 children with radiologically verified acute pneumonia, and with accomplished serological tests for bacteria and viruses, were included in the study. Five etiological groups were analysed: children with bacterial etiology only, with viral etiology only, with mixed bacterial and viral etiology, with Mycoplasma only, and children with no etiology. Results: The chest films of each etiological group were analysed and the findings were correlated to the children's age. The radiological findings did not differ between the etiological groups. Radiological findings correlated significantly with the patient's age. The radiological healing frequency at check‐up X‐ray was found to be significantly lower in children with mixed bacterial and viral etiology compared to children in each of the other groups and to the material as a whole. Conclusion: Conclusions about the etiology could not be drawn from the chest X‐ray findings.

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