scholarly journals Abses Paru Besar pada Hemotoraks Kanan

2017 ◽  
Vol 2 (2) ◽  
pp. 91-94
Author(s):  
Siti Fatima Azzahra ◽  
Anita Ekowati ◽  
Evi Artsini ◽  
Ajeng Visca Icanervilia

Lung abscess is defined as a localized area of necrosis of the pulmonary tissue and formation of cavities containing necrotic debris or fluid caused by microbial infection. Computed tomography (CT) scan allows optimal characterization of the lesion and effective evacuation. We reported a case of female patient, with chief complain of fever, recurring productive cough with blood, and shortness of breath that worsened since a week before admitted to hospital. The patient had these symptoms since 4 years ago and admitted to several other hospitals with similar problems. She denied any decreased of weight or nocturnal fever. In November 2016, we did a thorax CT scan and chest X-ray that revealed multiple round thick-walled and irregular cavities in lower lobe of right lung, measured 13.7 x 9.5 x 11.7 cm, air fluid level in each cavity, fluid component density is 9-15 HU with consolidation and caused deviation of cardiac position. Histopathology examination found suppurative chronic inflammation without malignant cell. After a throughout evaluation, the patient was diagnosed with tuberculosis infection and treated with anti tuberculosis drugs. In January 2017, a follow up thorax CT was done and revealed a decrease in size of lesion. The main purpose of this report is to show that plain film and thorax CT are useful examinations in assessing lung cavities entity, such as lung abscess. In this case, both CT and chest X-ray finding showed consistent results

2012 ◽  
Vol 1 (1) ◽  
pp. 33-36
Author(s):  
R Thapa ◽  
M Lakhey ◽  
U Shrestha

Sclerosing haemangioma is a rare neoplasm of the lung which behaves in a clinically benign fashion. Herein, a case of sclerosing haemangioma of the lung in a 52 years old woman is reported. She presented with symptoms of cough and chest pain. Chest X-ray and CT scan showed a well-defined lesion in lower lobe of left lung. Bronchoscopic biopsy findings were suggestive of a carcinoid tumor. Later the tumor was removed by lobectomy. The distinctive constellation of histologic findings revealed it to be a sclerosing haemangioma. DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7254 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.33-36


Author(s):  
Vinayakumar Ravi ◽  
Harini Narasimhan ◽  
Chinmay Chakraborty ◽  
Tuan D. Pham
Keyword(s):  
Ct Scan ◽  
X Ray ◽  

2022 ◽  
Vol 20 (2) ◽  
pp. 419-424
Author(s):  
Yang Zhao ◽  
Mabin Si ◽  
Zhihui Li ◽  
Xiulei Yu

Purpose: The present study analyzes the comprehensive therapeutic effect of cycloserine, in combination with anti-tuberculosis drugs using chest X-ray and chest CT (computed tomography) scan techniques. Methods: A total of 90 patients, diagnosed with multidrug resistant tuberculosis (MDR TB) were subjected to chest x-ray and CT scan before and after treatment in the two groups. Different views such as sagittal, coronal, lung window and multiplanar imaging of mediastinal window were taken. Some parameters such as case detection rate (CDR) in chest X-ray and CT scan and comprehensive curative effect were observed in two groups. Further, the changes in chest CT signs in addition to absorption of focus, cavity closure and changes in CT extra pulmonary signs were also observed. Results: The clinical profile of the patients and the course of disease were statistically insignificant (p > 0.05). Total effectiveness rate and case detection rate (CDR) values exhibited a significant difference between the groups (p < 0.05). Lung consolidation, nodules and cavities significantly improved in both groups before and after the treatment (p < 0.05). Both groups showed significant improvements in extrapulmonary signs in CT scan (p < 0.05) after the treatment. Conclusion: Based on the study outcomes, the CT scan method has good potentials for diagnosing and treating MDR TB at the early stages. Further, it can clarify the signs and outcomes of the disease at early stages, thus providing the medical fraternity a great opportunity to cure the disease.


2017 ◽  
Vol 3 (4) ◽  
pp. 166-169
Author(s):  
Ekateryna Yanovska ◽  
Victoria Klimenko ◽  
Elena Pasichnik

The work is devoted to the study of the clinical and paraclinical peculiarities in children with CF (including respiratory tract microbiocenosis) in Kharkiv region. Also it is about the correlation of microbiological status of CF patients with the disease morbidity.Under the supervision were 30 children with cystic fibrosis. They conducted clinical, paraclinical (bacteriological examination of sputum and epithelial lining fluid, chest X-ray, CT scan of lungs) were performed.Clinical and paraclinic (bacteriological examination of sputum and epithelial lining fluid, chest X-ray, CT scan of lungs) were performed.During observations revealed that the condition severity of CF patients is associated with chronic P. aeruginosa infection, and B. cepacia. And also, that none of patients in Kharkiv region has determined  any of pathognomonic respiratory causative microorganisms – M. Tuberculosis and non-tuberculous micobacteria, H. influenza, Ralstonia picketi, condition of infecting by P. Aeruginosa is not identified, and this is the evidence of insufficient laboratory diagnostics.Key words: cystiс fibrosis, children, microflora В.А. Клименко, К.О. Яновська, О.В. ПасічникКЛІНІЧНА ХАРАКТЕРИСТИКА ДІТЕЙ З МУКОВІСЦИДОЗОМ В ХАРКІВСЬКОМУ РЕГІОНІРобота присвячена вивченню клініко-параклінічних особливостей дітей з МВ (в тому числі - мікробіоценоз респіраторного тракту) в Харківському регіоні. А також визначенню кореляції мікробіологічного статусу хворих МВ з тяжкістю перебігу захворювання.Під наглядом були 30 дітей, хворих на муковісцидоз. Їм проведені клінічні, параклінічні (бактеріологічне дослідження мокротиння і промивних вод бронхів, рентгенограма органів грудної клітки, комп'ютерна томографія легенів) дослідження.В ході спостережень виявлено, що тяжкість стану хворих МВ асоційована з хронічною інфекцією P. aeruginosa і B. cepacia. А також, що в Харківському регіоні з патогномонічних респіраторних збудників МВ у жодного хворого не виявлено M. Tuberculosis і non-tuberculous micobacteria, H. influenza, Ralstonia picketi, не визначається статус інфікування P. aeruginosa, що свідчить про незадовільну лабораторну діагностику.Ключові слова: муковісцидоз, діти, мікрофлора. В.А.  Клименко, Е.А. Яновская, Е.В. ПасичникКЛИНИЧЕСКАЯ ХАРАКТЕРИСТИКА ДЕТЕЙ С МУКОВИСЦИДОЗОМ В ХАРЬКОВСКОМ РЕГИОНЕРабота посвящена изучению клинико-параклинических особенностей детей с МВ (в том числе – микробиоценоз респираторного тракта) в Харьковском регионе. А также определению корреляции микробиологического статуса больных МВ с тяжестью течения заболевания.Под наблюдением были 30 детей, больных муковисцидозом. Им проведены клинические, параклинические (бактериологическое исследование мокроты и промывных вод бронхов, рентгенограмма органов грудной клетки, компьютерная томография легких) исследования.В ходе наблюдений выявлено, что тяжесть состояния больных МВ ассоциирована с хронической инфекцией P. aeruginosa и B. cepacia.  А также, что в Харьковском регионе из патогномоничных респираторных возбудителей МВ ни у одного больного не выявлено M. Tuberculosis и non-tuberculous micobacteria, H. influenza, Ralstonia picketi, не определяется статус инфицирования P. aeruginosa, что свидетельствует о неудовлетворительной лабораторной диагностике.Ключевые слова: муковисцидоз, дети,  микрофлора.


2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0015
Author(s):  
Daniel Bohl ◽  
Blaine Manning ◽  
George Holmes ◽  
Simon Lee ◽  
Johnny Lin ◽  
...  

Category: Other Introduction/Purpose: Foot and ankle surgeons routinely prescribe diagnostic imaging that exposes patients to potentially harmful ionizing radiation. The purpose of this study is to characterize patients’ knowledge regarding radiation exposure associated with common forms of foot and ankle imaging. Methods: A survey was administered to all new patients prior to their first foot and ankle clinic appointments. Patients were asked to compare the amount of harmful radiation associated with chest x-rays to that associated with various types of foot and ankle imaging. Results were tabulated and compared to actual values of radiation exposure from the published literature. Results: A total of 890 patients were invited to participate, of whom 791 (88.9%) completed the survey. The majority of patients believed that a foot x-ray, an ankle x-ray, a “low dose” CT scan of the foot and ankle (alluding to cone-beam CT), and a traditional CT scan of the foot and ankle all contain similar amounts of harmful ionizing radiation to a chest x-ray (Table 1). This is in contrast to the published literature, which suggests that foot x-rays, ankle x-rays, cone beam CT scans of the foot and ankle, and traditional CT scans of the foot and ankle expose patients to 0.006, 0.006, 0.127, and 0.833 chest x-rays worth of radiation. Conclusion: The results of the present study suggest that patients greatly over-estimate the amount of harmful ionizing radiation associated with plain film and cone-beam CT scans of the foot and ankle. Interestingly, their estimates of radiation associated with traditional CT scans of the foot and ankle were relatively accurate. Results suggest that patients may benefit from increased counseling by surgeons regarding the relatively low risk of radiation exposure associated with plain film and cone-beam CT imaging of the foot and ankle.


2017 ◽  
Vol 2 (4) ◽  
pp. 181-186 ◽  
Author(s):  
Tilak Pathak ◽  
Malvinder S. Parmar

AbstractBackgroundPleural effusion is common and can cause significant morbidity. The chest X-ray is often the initial radiological test, but additional tests may be required to reduce uncertainty and to provide additional diagnostic information. However, additional exposure and unnecessary costs should be prevented. The objective of the study was to assess the clinical benefit of an additional chest computed tomography (CT) scan over plain chest X-ray alone in the management of patients with pleural effusion.MethodsRetrospective analysis in 94 consecutive patients with pleural effusion who underwent chest X-ray and CT scan over an 18-month period in a single institution. All chest X-ray and CT scan reports were compared and correlated with clinical parameters in order to assess their utility in the clinical management. No blinding was applied.ResultsIn 75 chest CT scan reports (80 %), information provided by the radiologist did not change clinical management when compared to plain chest X-ray alone and did not provide any additional information over chest X-ray. Only 2/49 (4 %) of the native chest CT scan reports provided clinically relevant information as compared to 17/45 (38 %) contrast-enhanced chest CT scan reports (p<0.001).ConclusionsIn this retrospective cohort of patients with pleural effusion, an additional chest CT scan was not useful in the majority of patients. However, if a chest CT scan is required, then a contrast-enhanced study after pleural aspiration should be performed. Further prospective studies are required to confirm these findings.


2011 ◽  
Vol 77 (4) ◽  
pp. 480-483 ◽  
Author(s):  
Khanjan Nagarsheth ◽  
Stanley Kurek

Pneumothorax after trauma can be a life threatening injury and its care requires expeditious and accurate diagnosis and possible intervention. We performed a prospective, single blinded study with convenience sampling at a Level I trauma center comparing thoracic ultrasound with chest X-ray and CT scan in the detection of traumatic pneumothorax. Trauma patients that received a thoracic ultrasound, chest X-ray, and chest CT scan were included in the study. The chest X-rays were read by a radiologist who was blinded to the thoracic ultrasound results. Then both were compared with CT scan results. One hundred and twenty-five patients had a thoracic ultrasound performed in the 24-month period. Forty-six patients were excluded from the study due to lack of either a chest X-ray or chest CT scan. Of the remaining 79 patients there were 22 positive pneumothorax found by CT and of those 18 (82%) were found on ultrasound and 7 (32%) were found on chest X-ray. The sensitivity of thoracic ultrasound was found to be 81.8 per cent and the specificity was found to be 100 per cent. The sensitivity of chest X-ray was found to be 31.8 per cent and again the specificity was found to be 100 per cent. The negative predictive value of thoracic ultrasound for pneumothorax was 0.934 and the negative predictive value for chest X-ray for pneumothorax was found to be 0.792. We advocate the use of chest ultrasound for detection of pneumothorax in trauma patients.


2020 ◽  
Vol 9 (12) ◽  
pp. 3940
Author(s):  
Amir Emamifar ◽  
Søren Hess ◽  
Torkell Ellingsen ◽  
Susan Due Kay ◽  
Jacob Christian Bang ◽  
...  

The aim of the study was to identify the prevalence of newly diagnosed malignancies in patients with polymyalgia rheumatica (PMR) and giant cell arteritis (GCA), with the aid of 18F-FDG PET/CT scan compared to conventional imaging techniques: Chest X-ray (CXR) and abdominal ultrasound (US). Secondarily, to examine the relative diagnostic accuracy of these two imaging modalities for the detection of cancer. Eighty consecutive patients with newly diagnosed PMR, GCA, or concomitant PMR and GCA, were included and followed up for 40 weeks. All patients underwent an 18F-FDG PET/CT scan, CXR, and abdominal US at diagnosis. Imaging findings were dichotomously categorized into malignant or benign. Among 80 patients, three patients were diagnosed with seronegative rheumatoid arthritis and were excluded from the analysis. Of the remaining 77, 64 (83.1%) patients were diagnosed with pure PMR, 3 (3.9%) with pure GCA, and 10 (13.0%) with concomitant PMR and GCA. Five types of cancer that were more prevalent than the one-year prevalence of 1.2% among the background population were found in four (5.2%; 95%CI: 1.4–12.8%) patients. CXR/abdominal US could detect the solid cancer in one patient, whereas 18F-FDG PET/CT could identify all four solid cancers. Furthermore, four (5.2%; 95%CI: 1.4–12.8%) cases of monoclonal gammopathy of undetermined significance (MGUS) were found. An increase in C reactive protein (CRP) implicated an increased risk for cancer of 2.4% (OR: 1.024, 95%CI: 1.001–1.047; p = 0.041). 18F-FDG PET/CT can reveal occult cancers at an early stage with a high negative predictive value, and it is specifically beneficial in PMR/GCA patients with nonspecific symptoms.


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