Cavitary Lung Diseases A Clinical-Radiologic Algorithmic Approach
Por:
Gafoor, K, Patel, S, Girvin, F, Gupta, N, Naidich, D, Machnicki, S, Brown, KK, Mehta, A, Husta, B, Ryu, JH, Sarosi, GA, Franquet, T, Verschakelen, J, Johkoh, T, Travis, W, Raoof, S
Publicada:
1 jun 2018
Resumen:
Cavities occasionally are encountered on thoracic images. Their differential diagnosis is large and includes, among others, various infections, autoimmune conditions, and primary and metastatic malignancies. We offer an algorithmic approach to their evaluation by initially excluding mimics of cavities and then broadly classifying them according to the duration of clinical symptoms and radiographic abnormalities. An acute or subacute process (< 12 weeks) suggests common bacterial and uncommon nocardial and fungal causes of pulmonary abscesses, necrotizing pneumonias, and septic emboli. A chronic process (>= 12 weeks) suggests mycobacterial, fungal, viral, or parasitic infections; malignancy (primary lung cancer or metastases); or autoimmune disorders (rheumatoid arthritis and granulomatosis with polyangiitis). Although a number of radiographic features can suggest a diagnosis, their lack of specificity requires that imaging findings be combined with the clinical context to make a confident diagnosis.
Filiaciones:
Gafoor, K:
Lenox Hill Hosp, Northwell Hlth, Pulm Div, New York, NY 10075 USA
Patel, S:
Lenox Hill Hosp, Northwell Hlth, Pulm Div, New York, NY 10075 USA
Girvin, F:
NYU, Dept Radiol, Langone Med Ctr, 560 1St Ave, New York, NY 10016 USA
Gupta, N:
Univ Cincinnati, Pulm Crit Care & Sleep Med, Cincinnati, OH USA
Naidich, D:
NYU, Dept Radiol, Langone Med Ctr, 560 1St Ave, New York, NY 10016 USA
Machnicki, S:
Lenox Hill Hosp, Northwell Hlth, Dept Radiol, New York, NY 10075 USA
Brown, KK:
Natl Jewish Hlth, Med, Denver, CO USA
Mehta, A:
Cleveland Clin, Cleveland, OH 44106 USA
Husta, B:
Lenox Hill Hosp, Northwell Hlth, Pulm Div, New York, NY 10075 USA
Ryu, JH:
Mayo Clin, Pulm CCM, Rochester, MN USA
Sarosi, GA:
Minneapolis VA Hlth Care Syst, Infect Dis, Minneapolis, MN USA
Franquet, T:
Hosp Santa Creu & Sant Pau, Dept Radiol, Barcelona, Spain
Verschakelen, J:
Univ Hosp Gasthuisberg, Radiol, Leuven, Belgium
Johkoh, T:
Kinki Cent Hosp, Mutual Aid Assoc, Publ Sch Teachers, Radiol, Itami, Hyogo, Japan
Travis, W:
Mem Sloan Kettering Canc Ctr, Dept Pathol, 1275 York Ave, New York, NY 10021 USA
Raoof, S:
Lenox Hill Hosp, Northwell Hlth, Pulm Div, New York, NY 10075 USA
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