15 results
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Blood cultures • CXR ... ) • CXR upright ... seen • Chest CT ... westermani • Other: TB
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Dyspnea (underlying lung ... ) • Abnormal CXR ... refer + order CT ... History of cancer, lung ... Diagnosis #Algorithm #causes
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
affecting the lungs ... and Culture • CXR ... Tuberculosis Treatment ... Initiating Treatment ... • Check CXR and
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
affecting the lungs ... and Culture • CXR ... Tuberculosis Treatment ... Initiating Treatment ... • Check CXR and
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
IgG4-Related Disease ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT ... IgG4 #Related #Disease
Bronchiectasis - Permanent dilation of an airway
WHAT CAN YOU SEE ON CT?
1) Lack of tapering of
CAN YOU SEE ON CT ... segment or lobe of lung ... involving both lungs ... Infection (Bacterial, TB ... Rheumatologic/Autoimmune diseae
Tuberculin Skin Test Interpretation - Threshold for treatment
Induration cutoff >5mm:
 • Recent exposure to an individual
Threshold for treatment ... • Abnormal CXR ... consistent with old TB ... disease • HIV ... carcinoma of head/neck/lung
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status • Chronic lung ... status NTM Cause ... infections Lungs ... Kansasii: • Mimics TB ... Imaging, high res CT
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
• Infection: TB ... in the adjacent lung ... of the affected lung ... high-resolution chest CT ... mycobacteria Treatment
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
is a fibrotic lung ... disease caused ... With disease progression ... Calcification (seen in CT ... clinical #radiology #CXR