By Silva, Müller
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Additional resources for The Teaching Files - Chest
Sample text
Kansasii pulmonary infection are identical to those of postprimary tuberculosis. Definitive diagnosis requires culture of the organism.
Characteristic Radiologic Findings By definition, a cystic pattern on high-resolution CT is characterized by the presence of numerous cysts. The cysts may be diffuse (Figs. 1 and 2) or involve mainly the upper or lower lung zones. Common associated findings in patients with pulmonary Langerhans cell histiocytosis include small nodules, ground-glass opacities, and emphysema. Cysts in patients with Pneumocystis pneumonia, lymphoid interstitial pneumonia (LIP), or hypersensitivity pneumonitis are usually seen in areas of ground-glass opacification.
Reticulation) on the chest radiograph is defined as a collection of innumerable, small, linear opacities that by summation produce an appearance resembling a net. Characteristic Clinical Features Patients with a reticular pattern most commonly present with slowly progressive shortness of breath and dry cough. Occasionally, the patients may be asymptomatic. Characteristic Radiologic Findings The characteristic appearance is that of innumerable, interlacing line shadows that suggest a mesh. On the chest radiograph, the pattern may be the result of summation of smooth or irregular linear opacities or cystic spaces, or both.
