A study of various MRI findings in patients with extra-pulmonary tuberculosis at tertiary health care centre
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 11
Abstract
Background: In the era before the human immunodeficiency virus (HIV) pandemic, and in studies involving immunocompetent adults, it has been observed that EPTB constituted about 15 to 20 per cent of all cases of TB Aims and Objectives: To Study of various MRI findings in patients with extra-pulmonary tuberculosis at tertiary health care centre. Methodology: This was a cross-sectional study was carried out in suspected EPTB from October 2013 to August 2015. The study was carried out prospectively in the Department of Radiodiagnosis of Sassoon General Hospital, Pune. This study includes MRI and CT studies of 202 cases of patients with EPTB. All cases from Sassoon General Hospital, Pune referred for MRI and CT who are clinically diagnosed to have extrapulmonary tuberculosis and with supporting evidence from radiographs, USG or lab tests. Magnetic Resonance Imaging (MRI): Machine: 1.5 Tesla GE – Signa Hdxt MRI machine was used for the study. Result: MRI findings in lymph nodal tuberculosis were Homogeneous enhancement-13.4%, Peripherally nhancing (necrotic)-16.3%, Fibrocalcified-5.0%. MRI findings in pleural tuberculosis Thickening -13.8%, Pleural effusion-16.3%Empyema-3.5%, Calcifications-2.5% MRI findings in hepatic tuberculosis were Miliary type-2.5%, Nodular type in 2.0%. MRI findings inperitoneal tuberculosis were Ascites in 1.5%, Peritoneal thickening with enhancement in 0.5%, Mesenteric thickening in 1.5% MRI findings of Ileocaecal tuberculosis Wall thickening in 1%, Contrast enhancement in 1%,Active wall inflammation-0.5%, Fibrotic wall changes in 0.5%.MRI findings in adrenal tuberculosis in Bilateral involvement -0.5%, Calcification in 0.5%. MRI findings in renal tuberculosis Calyceal deformity1.5%, P.N. with cavitation, 1.5%, Pelvic stricture-1.0%, Cortical scar-1.5%Calcifications-1.0%, MRI findings in ureteric tuberculosis Dilatation with mural thickening in 0.5%, Stricture in 0.5%. MRI findings in bladder tuberculosis Wall thickening in 2.5%, Reduced bladder size in 3%. MRI findings in intracranial tuberculosis in Meningeal enhancement6.9%, Non calcified tuberculoma in 3.5%, Calcified tuberculoma in 2.5%, Cerebritis and abscess in 0.5%, Basal exudates in 4.5%, Vasculitic infarcts in1.0%, Encephalopathy in 0.5%, Miliary in 1.5%. MRI findings in spinal cord tuberculosis Meningitis in 0.5%, Tuberculomas in 1.0%.MRI findings in Pott’s spine were Vertebral body destruction -4.5%, Discitis/disc destruction-5.9%, Subligamentous spread-5.9%, Paraspinal mass/abscess-3.5%, Epidural/spinal canal extension-1.5%,Soft tissue calcifications-0.5%.MRI findings in tubercular osteomyelitis were Intraosseous involvement, 0.5%, Marrow changes-0.5%,Sequestrum-0.5%.Pericardial thickening-1.5%, Effusion -1.5%, IVC dilatation-1.0%. Conclusion: This relatively safe investigations with the typical presentationsvery crucial in the early diagnosis of various extrapulmonary tuberculosis and subsequent management to prevent further complications of it.
Authors and Affiliations
Akhil Patil, Syed Moinullah, Rudresh S Halawar
Keywords
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