COMPUTED TOMOGRAPHIC EVALUATION OF PULMONARY TUBERCULOSIS AND ITS SEQUELAE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 29
Abstract
[b] INTRODUCTION[/b]: Tuberculosis is a specific granulomatous disease, caused by mycobacterium tuberculosis. CT scan, particularly HRCT seems to be most useful imaging modality for tuberculous infection and its sequelae. CT is much more sensitive in identifying complications of tuberculosis than any other imaging modality.[b] MATERIALS & METHODS:[/b] A total of ninety cases of pulmonary tuberculosis were included in the present study. A detailed history, clinical examination and routine laboratory examinations of all the cases were carried out for the confirmation of tuberculosis. All the cases had chest radiography postero-anterior view in erect position using 1000 mA digital X-ray machine of Shimadzu. In all the cases CT examination were performed using Siemens Somatom ARSP – a third generation spiral scanner, within a week of starting antituberculous therapy.[b] OBSERVATION[/b]: The CT findings were divided into four groups, based on predominant pattern of involvement. These groups are- predominant parenchymal excluding military (57 cases), predominant miliary parenchymal (15 cases), plural effusion (9 cases), and mediastinal lymphadenopathy (9 cases). The predominant parenchymal lesions further consisted of three major patterns. These are nodular opacities (57 cases), confluent consolidation (21 cases) and consolidation with associated loss of volume (36 cases). [b]CONCLUSION[/b]: CT showed three major patterns of parenchymal lesions. The nodular opacity pattern suggesting bronchogenic spread. Cavitations were most common with consolidation with associated loss of volume, lesions suggesting liquifactive necrosis of caseous focus.
Authors and Affiliations
Anshuman Anand, Md. Nazrul Haque, Kashif Shahnawaz
Keywords
Related Articles
- EP ID EP159010
- DOI 10.14260/jemds/2015/722
- Views 71
- Downloads 0
CLINICAL PROFILE OF PATIENTS WITH CHIKUNGUNYA FEVER
BACKGROUND Chikungunya Fever, though known to be a self-limiting disease, causes severe disabling joint involvement, which in turn lays a significant burden on the health care system. Although mortality related to this i...
ANGIOMYXOMA OF VULVA
A 40-year-old female presented with a slow-growing mass on the left labia majora, since three years. Local examination showed a well-circumscribed pedunculated polypoidal mass measuring 15 cm × 10 cm. The mass was non-te...
MANAGEMENT OF HAEMORRHOIDS BY OPEN AND CLOSED HAEMORRHOIDECTOMY– A COMPARATIVE STUDY
BACKGROUND Haemorrhoids are estimated to affect nearly 40% of the population during their lifetime in some form or the other. Milder forms respond to conservative management whereas surgical approach is necessary in the...
COMPARISON OF OUTCOMES BETWEEN THE LICHTENSTEIN AND BASSINI METHODS IN INGUINAL HERNIA- A RANDOMISED CONTROLLED TRIAL
BACKGROUND Inguinal hernia is one of the most common causes of abdominal surgery, especially in males. For repairing this kind of hernia, there are laparoscopic and open surgical methods. Open surgery may be done through...
ROLE OF FESS IN NASAL POLYPOSIS
BACKGROUND Nasal polyposis is the most common chronic disease affecting the mucous membranes of the nasal cavity and the paranasal sinuses, and following chronic sinusitis it is the most frequent indication for surgical...