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MeSH: Pneumonia-diagnostic imaging

11 záznamů v PubMed Filtry

Článek

CT findings predicting lung resection in children with complicated community-acquired pneumonia

Kucerova, Barbora
Autor Kucerova, Barbora Department of Pediatric Surgery, 2nd Faculty of Medicine, Motol University Hospital, Charles University, V Uvalu 84, Prague 5, Czech Republic. barbora.kucerova2@fnmotol.cz
Kovacova, A S
Autor Kovacova, A S Department of Radiology, 2nd Faculty of Medicine, Motol University Hospital, Charles University, Prague, Czech Republic
Polivka, N
Autor Polivka, N Department of Pediatric Surgery, 2nd Faculty of Medicine, Motol University Hospital, Charles University, V Uvalu 84, Prague 5, Czech Republic
Cejnarová, K
Autor Cejnarová, K Department of Pediatric Surgery, 2nd Faculty of Medicine, Motol University Hospital, Charles University, V Uvalu 84, Prague 5, Czech Republic
Doucha, M
Autor Doucha, M Department of Pediatric Surgery, 2nd Faculty of Medicine, Motol University Hospital, Charles University, V Uvalu 84, Prague 5, Czech Republic
Coufal, S
Autor Coufal, S Institute of Microbiology of the Czech Academy of Sciences, Prague, Czech Republic
Hlava, S
Autor Hlava, S Department of Internal Medicine, 2nd Faculty of Medicine, Motol University Hospital, Charles University, Prague, Czech Republic
Wasserbauer, M
Autor Wasserbauer, M Department of Internal Medicine, 2nd Faculty of Medicine, Motol University Hospital, Charles University, Prague, Czech Republic
Dotlacil, V
Autor Dotlacil, V Department of Pediatric Surgery, 2nd Faculty of Medicine, Motol University Hospital, Charles University, V Uvalu 84, Prague 5, Czech Republic
Kyncl, M
Autor Kyncl, M Department of Radiology, 2nd Faculty of Medicine, Motol University Hospital, Charles University, Prague, Czech Republic

Pediatric surgery international. 2022 Mar ; 38 (3) : 431-436. [epub] 20220129

Pediatr Surg Int
ISSN 1437-9813 | 0179-0358
Zdroj

PURPOSE: To investigate computed tomography (CT) features which predict lung resection in children with complicated community-acquired pneumonia. METHODS: A retrospective study of CT findings of patients with complicated pneumonia treated between January 2010 and December 2019. Fisher's exact test and ROC curves were used for statistical analysis. RESULTS: The study cohort consisted of 84 patients who underwent chest CT for complicated pneumonia. Lung resection was performed in 36 patients, 3 patients were treated by lung decortication, 45 patients were cured conservatively. Seven CT features were found statistically significant among the patients who underwent lung resection. 80.5% of patients from the resection group had two or more of these features on the initial CT scan, 64% had three or more. According to ROC analysis, simultaneous occurrence of multiple cavities equal to or greater than 3 cm and lung abscess predicted a pulmonary resection. CONCLUSION: The combination of CT features which clearly predict lung resection are the simultaneous occurrence of multiple cavities ≥ 3 cm and lung abscess. The most common triple combination of CT signs in the resected group of patients were multiple cavities ≥ 3 cm, consolidation of lung tissue and pleural effusion < 3 cm.

Klíčová slova
CT features, Community-acquired pneumonia, Lung resection in children,
MeSH
dítě MeSH
infekce získané v komunitě * diagnostické zobrazování MeSH
lidé MeSH
plíce diagnostické zobrazování chirurgie MeSH
pneumonie * diagnostické zobrazování MeSH
počítačová rentgenová tomografie MeSH
retrospektivní studie MeSH
Check Tag
dítě MeSH
lidé MeSH
Publikační typ
časopisecké články MeSH

Článek

Hypophysitis and other autoimmune complications related to immune checkpoints inhibitors´ treatment: Spectrum of imaging appearances

Neuro endocrinology letters. 2018 Sep ; 39 (3) : 196-204.

Neuro Endocrinol Lett
ISSN 0172-780X
Zdroj

OBJECTIVES: Immune checkpoints inhibitors (ICI) represent a new therapy option for the treatment of several advanced tumors. However, this therapy has been linked to a spectrum of ICI related autoimmune (AI) adverse events. Some may be life threatening and their diagnosis is tricky. The aim of our study was to describe various imaging appearances of ICI related secondary hypophysitis and other coincidental AI diseases. MATERIAL AND METHODS: We included 28 patients (19 females, 9 men, mean aged 58±13 years), who were consecutively treated mostly for advanced stage melanoma by different ICI. All their CT/MRI records and clinical data were reviewed. RESULTS: We found 5 (18%) cases of endocrinology proven secondary hypophysitis; 2 cases of panhypopituitarism and 3 cases of central hypocortisolism. Four cases were MRI positive, 1 case was MRI negative. Three cases were accompanied by other AI diseases: 1 by hemorrhagic colitis and mesenterial lymphadenitis, 1 by AI pancreatitis and 1 by pneumonitis. On MRI pituitary gland was swollen in 3 cases, twice enhanced non-homogenously, once homogenously; infundibular enlargement was present in 2 cases. Those 3 cases reacted to glucocorticoid therapy by hypophyseal shrinkage. In 1 case of MRI positive hypophysitis, the pituitary gland was not enlarged, slightly nonhomogeneous with peripheral contour enhancement; no reaction to glucocorticoids was mentioned. CONCLUSION: Secondary hypophysitis is probably more common ICI related adverse event than reported in the literature. Its MRI appearance is variable. Most of our cases were in coincidence with other AI ICI related events that affected their clinical manifestations.

Článek

Pneumonie u polykace ohnĕ--obtízná diferenciální diagnostika
[Fire-eater's pneumonia--a difficult differential diagnosis]

Casopis lekaru ceskych. 2001 Apr 26 ; 140 (8) : 242-5.

Cas Lek Cesk
ISSN 0008-7335
Zdroj

Acute aspiration of petroleum or other hydrocarbon products can cause a distinct type of chemical pneumonitis known as fire-eater's pneumonia. Initial findings on chest X-rays are ambiguous and not uniform in nature. Among the most common belong mottled or patchy, local or diffuse perihilar and basal uni- or bilateral infiltrates, areas of atelectasis, tumor-like lesions and rarely pleural effusions. CT finding often shows formation of smaller or larger pneumatoceles. Those cavities tend to regress spontaneously over weeks or months. Clinical diagnosis is sometimes very difficult, especially in cases, when past history of "fire-eating" is not known to the physician. The authors present clinical manifestation, sequential X-ray and CT findings in one patient with fire-eater's pneumonia. To diagnose the disease, not only paraclinical exploration is needed, but also the patient's past history plays an important role. Without it this puzzling clinical unit can remain undiagnosed.