Aspergillosis CT
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American Roentgen Ray Society Images of Aspergillosis CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]; Yazan Daaboul, M.D.; Serge Korjian M.D.
Overview
Chest CT scan may be helpful in the diagnosis of aspergillosis. Findings on chest CT scan suggestive of aspergillosis include a well formed cavity, a central soft tissue attenuating oval shaped, well circumscribed mass surrounded by an cresent of air (Monad sign).[1]
CT Scan
- Chest CT scan may be helpful in the diagnosis of aspergillosis.[1]
- Findings on chest CT scan suggestive of aspergilloma include:
- Well formed cavity
- A central soft tissue attenuating oval, well circumscribed mass
- Surrounded by an cresent of air (Monad sign)
- The mass may illustrate mobility as the patients change their position.
- On certain occasion the mass may entirely fill the cavity, thus it takes on the shape of the cavity, loses its mobility, and obliterates the surrounding air crescent.
- Marked enlargement of the bronchial arteries that supply the wall of the adjacent respiratory tracts
- Thickening of the adjacent pleura may be present
- Findings on chest CT scan suggestive of allergic bronchopulmonary aspergillosis include:[2]
- Fleeting pulmonary alveolar opacities
- Centrilobular nodular opacities representing dilated and opacified bronchioles
- Bronchiectasis
- Bronchial wall thickening
- Honey comb appearance
Gallery
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Chest CT scan demonstrating a well rounded mass located inside a cavity of the left lung, and surrounded by a crescent of air
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Chest CT scan demonstrating a well rounded mass located inside a cavity of the right lung, and surrounded by a crescent of air
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Chest CT (coronal lung window view) demonstrates an extensive cavitation in the right lung apex, within which there is a rounded mass soft tissue
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Allergic bronchopulmonary aspergillosis
References
- ↑ 1.0 1.1 Aspergilloma. Radiopaedia (2015) http://radiopaedia.org/articles/aspergilloma Accessed on February, 9 2016
- ↑ Allergic bronchopulmonary aspergillosis. Radiopaedia (2015)http://radiopaedia.org/articles/allergic-bronchopulmonary-aspergillosis Accessed on February, 8 2016
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