scholarly journals Thorax CT findings of patients with hilar enlargement on chest X-Ray

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Yeliz Dadalı
Keyword(s):  
X Ray ◽  
2020 ◽  
Vol 93 (1113) ◽  
pp. 20200647 ◽  
Author(s):  
Figen Palabiyik ◽  
Suna Ors Kokurcan ◽  
Nevin Hatipoglu ◽  
Sinem Oral Cebeci ◽  
Ercan Inci

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.


Author(s):  
Pracheta Sahoo ◽  
Indranil Roy ◽  
Randeep Ahlawat ◽  
Saquib Irtiza ◽  
Latifur Khan

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


2020 ◽  
pp. 215-221 ◽  
Author(s):  
Hanifi YILDIZ ◽  
Aysel Sünnetçioğlu ◽  
Selami Ekin ◽  
İrfan Baran ◽  
Mesut Özgökçe ◽  
...  

Case Description: A 52-year-old female patient was admitted to our clinic with complaints of cough, sputum, fever and fatigue. The patient has been receiving immunosuppressive therapy for thrombocytopenic purpura for 5 years. Clinical Finding: Inspiratory crackles were heard on both hemithorax. Oxygen saturation measured with the pulse oximeter was 97%. Chest X-ray showed diffuse reticular opacities that were more prominent in the upper zones of both lungs. WBC counts were 17600/mm3 and Platelet counts were 29000/mm3. Thorax CT showed that there were many thin-walled cavities and millimetric nodules accompanied by ground-glass infiltrates in the upper and middle lobes. Gram staining of bronchial fluid, taken by bronchoscopy, revealed Gram-negative bacilli and intense polymorphonuclear leukocytes. The bacteria were defined as Delftia acidovorans by BD Phoenix automated system. Treatment and outcomes: The patient was hospitalized with suspicion of opportunistic pulmonary infections and cavitary lung disease. After the empirical treatment of intravenous piperacillin-tazobactam and oral clarithromycin, her clinical and radiological findings significantly regressed, and she was discharged with outpatient follow-up. Clinical Relevance: This is the first example of cavitary pneumonia due to Delftia acidovorans in an immunocompromised patient. We would like to emphasize that Delftia pneumonia should be considered in the differential diagnosis of pulmonary cavitary involvement in such patients.


Author(s):  
Terry Robinson ◽  
Jane Scullion

If fluid collects in between the pleural layers the patient is deemed to have a pleural effusion. A pleural effusion can occur unilaterally (affecting the pleural space of one lung) or bilaterally (affecting both lungs). Pleural effusion is a very common presentation for a variety of different pathologies. This chapter provides the definition, aetiology, and clinical features of pleural effusion. Investigations (chest X-ray, ultrasound, thorax CT, pleural aspiration, LDH, and cytology among others) and management are included. Specific aspects of nursing care, including symptom control, care of drains and wound sites, and the provision of information and patient support are outlined.


2015 ◽  
Vol 56 (1) ◽  
pp. NP5-NP5 ◽  
Author(s):  
Beuy Joob ◽  
Viroj Wiwanitkit
Keyword(s):  
X Ray ◽  

2015 ◽  
Vol 56 (5) ◽  
pp. 552-556 ◽  
Author(s):  
Zhi Qian Lin ◽  
Xue Qin Xu ◽  
Ke Bei Zhang ◽  
Zhi Guo Zhuang ◽  
Xiao Sheng Liu ◽  
...  

2005 ◽  
Vol 39 (9) ◽  
pp. 26
Keyword(s):  
X Ray ◽  

Praxis ◽  
2019 ◽  
Vol 108 (15) ◽  
pp. 991-996
Author(s):  
Ngisi Masawa ◽  
Farida Bani ◽  
Robert Ndege

Abstract. Tuberculosis (TB) remains among the top 10 infectious diseases with highest mortality globally since the 1990s despite effective chemotherapy. Among 10 million patients that fell ill with tuberculosis in the year 2017, 36 % were undiagnosed or detected and not reported; the number goes as high as 55 % in Tanzania, showing that the diagnosis of TB is a big challenge in the developing countries. There have been great advancements in TB diagnostics with introduction of the molecular tests such as Xpert MTB/RIF, loop-mediated isothermal amplification, lipoarabinomannan urine strip test, and molecular line-probe assays. However, most of the hospitals in Tanzania still rely on the TB score chart in children, the WHO screening questions in adults, acid-fast bacilli and chest x-ray for the diagnosis of TB. Xpert MTB/RIF has been rolled-out but remains a challenge in settings where the samples for testing must be transported over many kilometers. Imaging by sonography – nowadays widely available even in rural settings of Tanzania – has been shown to be a useful tool in the diagnosis of extrapulmonary tuberculosis. Despite all the efforts and new diagnostics, 30–50 % of patients in high-burden TB countries are still empirically treated for tuberculosis. More efforts need to be placed if we are to reduce the death toll by 90 % until 2030.


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