Blastomycosis chest x ray: Difference between revisions

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==X-ray chest==  
==Overview==
The findings are not consistent or highly specific. Alveolar infiltrates may be present but are not localized to a particular lobe. Consolidations with or without cavitations, small [[pleural effusion]]'s are relatively common. Sometimes, pulmonary nodules simulating tuberculosis or cancers may be present. Mediastinal lymph node enlargement is not a consistent finding, but may be found occasionally.
The findings on chest x-ray are not consistent or highly specific for blastomycosis. No radiographic findings are absolutely diagnostic of blastomycosis.


==X-ray Bone==
==Chest X-ray==  
*[[Alveolar]] infiltrates may be present but are not localized to a particular [[lobe]]. <ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref>


A well circumscribed osteolytic lesion is the most common bone involvement finding in blastomycosis. X-ray patterns of vertebral involvement are somewhat similar to those seen in tuberculosis.
*[[Consolidation (medicine)|Consolidations]] with or without [[Cavitation|cavitations]]. Small [[pleural effusion]]'s are relatively common. <ref>{{cite book | last = Kauffman | first = Carol | title = Essentials of clinical mycology | publisher = Springer | location = New York | year = 2011 | isbn = 978-1-4419-6639-1 }}</ref>
 
*Sometimes, [[Pulmonary nodule|pulmonary nodules]] simulating [[tuberculosis]] or [[Lung cancer|cancers]] may be present.
==Gallery==
*[[Mediastinal]] [[lymph node]] enlargement is not a consistent finding, but may be found occasionally.
<gallery>
[[Image: Blastomycosis Chest Xray1.png|900px|center|This AP chest X-ray demonstrates lung infiltrates due to Blastomycosis, caused by Blastomyces dermatitidis]]
Image: Blastomycosis24.jpeg|This AP chest X-ray demonstrates lung infiltrates due to Blastomycosis, caused by Blastomyces dermatitidis bacteria. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
This is AP chest X-ray demonstrating
 
*Hyperinflation of [[lungs]] on both sides
</gallery>
*Decreased [[Lung volumes|lung volume]] on left side compared to right lung
*Reticular opacities in the right lower lobe
*[[Hilar lymphadenopathy]] on ride side of lung
*Mass with indefinite borders obscuring the architecture of [[pulmonary artery]] on left lung


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


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Latest revision as of 20:37, 29 July 2020

Blastomycosis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Vidit Bhargava, M.B.B.S [2] Aditya Ganti M.B.B.S. [3]

Overview

The findings on chest x-ray are not consistent or highly specific for blastomycosis. No radiographic findings are absolutely diagnostic of blastomycosis.

Chest X-ray

  • Alveolar infiltrates may be present but are not localized to a particular lobe. [1]
This AP chest X-ray demonstrates lung infiltrates due to Blastomycosis, caused by Blastomyces dermatitidis
This AP chest X-ray demonstrates lung infiltrates due to Blastomycosis, caused by Blastomyces dermatitidis

This is AP chest X-ray demonstrating

  • Hyperinflation of lungs on both sides
  • Decreased lung volume on left side compared to right lung
  • Reticular opacities in the right lower lobe
  • Hilar lymphadenopathy on ride side of lung
  • Mass with indefinite borders obscuring the architecture of pulmonary artery on left lung

References

  1. "Public Health Image Library (PHIL)".
  2. Kauffman, Carol (2011). Essentials of clinical mycology. New York: Springer. ISBN 978-1-4419-6639-1.

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