Paracoccidioidomycosis other imaging findings: Difference between revisions

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=Overview=
=Overview=
Common [[Chest X-ray|chest x-ray]] findings in chronic PCM include bilateral and symmetric opacities, butterfly wing pattern, architectural distorsion, paracicatricial [[emphysema]] an traction [[bronchiectasis]]. There are not many [[Chest X-ray|chest x-ray]] in [[Acute (medical)|acute]] PCM, but it is characterized by [[mediastinal]] and hiliar [[lymphadenopathy]] and [[pleural effusions]].<ref name="pmid22236894">{{cite journal| author=Barreto MM, Marchiori E, Amorim VB, Zanetti G, Takayassu TC, Escuissato DL et al.| title=Thoracic paracoccidioidomycosis: radiographic and CT findings. | journal=Radiographics | year= 2012 | volume= 32 | issue= 1 | pages= 71-84 | pmid=22236894 | doi=10.1148/rg.321115052 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22236894  }} </ref>. On thoraxic CT scan, [[Chronic (medical)|chronic]] paracoccidioidomycosis is characterized by ground-glass attenuation, airspace consolidations, interlobular septal thickening, nodular pattern, fibrotic pattern, cavitary lesions, [[halo sign]] and reversed halo sign. <ref name="pmid19608361">{{cite journal| author=Marchiori E, Valiante PM, Mano CM, Zanetti G, Escuissato DL, Souza AS et al.| title=Paracoccidioidomycosis: high-resolution computed tomography-pathologic correlation. | journal=Eur J Radiol | year= 2011 | volume= 77 | issue= 1 | pages= 80-4 | pmid=19608361 | doi=10.1016/j.ejrad.2009.06.017 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19608361 }} </ref> <ref name="pmid10397100">{{cite journal| author=Funari M, Kavakama J, Shikanai-Yasuda MA, Castro LG, Bernard G, Rocha MS et al.| title=Chronic pulmonary paracoccidioidomycosis (South American blastomycosis): high-resolution CT findings in 41 patients. | journal=AJR Am J Roentgenol | year= 1999 | volume= 173 | issue= 1 | pages= 59-64 | pmid=10397100 | doi=10.2214/ajr.173.1.10397100 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10397100 }} </ref> <ref name="pmid17056912">{{cite journal| author=Souza AS, Gasparetto EL, Davaus T, Escuissato DL, Marchiori E| title=High-resolution CT findings of 77 patients with untreated pulmonary paracoccidioidomycosis. | journal=AJR Am J Roentgenol | year= 2006 | volume= 187 | issue= 5 | pages= 1248-52 | pmid=17056912 | doi=10.2214/AJR.05.1065 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17056912 }} </ref> <ref name="pmid22236894">{{cite journal| author=Barreto MM, Marchiori E, Amorim VB, Zanetti G, Takayassu TC, Escuissato DL et al.| title=Thoracic paracoccidioidomycosis: radiographic and CT findings. | journal=Radiographics | year= 2012 | volume= 32 | issue= 1 | pages= 71-84 | pmid=22236894 | doi=10.1148/rg.321115052 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22236894 }} </ref>
Common chest x-ray findings in chronic PCM include bilateral and symmetric opacities, butterfly wing pattern, architectural distorsion, paracicatricial [[emphysema]] and traction [[bronchiectasis]]. There are not many chest x-ray finding in acute PCM, but it is characterized by [[mediastinal]] and hiliar [[lymphadenopathy]] and [[pleural effusions]].<ref name="pmid22236894">{{cite journal| author=Barreto MM, Marchiori E, Amorim VB, Zanetti G, Takayassu TC, Escuissato DL et al.| title=Thoracic paracoccidioidomycosis: radiographic and CT findings. | journal=Radiographics | year= 2012 | volume= 32 | issue= 1 | pages= 71-84 | pmid=22236894 | doi=10.1148/rg.321115052 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22236894  }} </ref> On thoraxic CT scan, chronic paracoccidioidomycosis is characterized by ground-glass attenuation, airspace consolidations, interlobular septal thickening, nodular pattern, fibrotic pattern, cavitary lesions, [[halo sign]] and reversed halo sign.<ref name="pmid22236894">{{cite journal| author=Barreto MM, Marchiori E, Amorim VB, Zanetti G, Takayassu TC, Escuissato DL et al.| title=Thoracic paracoccidioidomycosis: radiographic and CT findings. | journal=Radiographics | year= 2012 | volume= 32 | issue= 1 | pages= 71-84 | pmid=22236894 | doi=10.1148/rg.321115052 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22236894 }} </ref><ref name="pmid19608361">{{cite journal| author=Marchiori E, Valiante PM, Mano CM, Zanetti G, Escuissato DL, Souza AS et al.| title=Paracoccidioidomycosis: high-resolution computed tomography-pathologic correlation. | journal=Eur J Radiol | year= 2011 | volume= 77 | issue= 1 | pages= 80-4 | pmid=19608361 | doi=10.1016/j.ejrad.2009.06.017 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19608361 }} </ref><ref name="pmid10397100">{{cite journal| author=Funari M, Kavakama J, Shikanai-Yasuda MA, Castro LG, Bernard G, Rocha MS et al.| title=Chronic pulmonary paracoccidioidomycosis (South American blastomycosis): high-resolution CT findings in 41 patients. | journal=AJR Am J Roentgenol | year= 1999 | volume= 173 | issue= 1 | pages= 59-64 | pmid=10397100 | doi=10.2214/ajr.173.1.10397100 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10397100 }} </ref><ref name="pmid17056912">{{cite journal| author=Souza AS, Gasparetto EL, Davaus T, Escuissato DL, Marchiori E| title=High-resolution CT findings of 77 patients with untreated pulmonary paracoccidioidomycosis. | journal=AJR Am J Roentgenol | year= 2006 | volume= 187 | issue= 5 | pages= 1248-52 | pmid=17056912 | doi=10.2214/AJR.05.1065 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17056912 }} </ref>


=Chest X-ray=
=Chest X-ray=
*[[Chronic (medical)|Chronic]] PMC:
*[[Chronic (medical)|Chronic]] PMC:<ref name="pmid22236894">{{cite journal| author=Barreto MM, Marchiori E, Amorim VB, Zanetti G, Takayassu TC, Escuissato DL et al.| title=Thoracic paracoccidioidomycosis: radiographic and CT findings. | journal=Radiographics | year= 2012 | volume= 32 | issue= 1 | pages= 71-84 | pmid=22236894 | doi=10.1148/rg.321115052 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22236894  }} </ref>
**Bilateral and symmetric opacities
**Bilateral and symmetric opacities
**Butterfly wing pattern
**Butterfly wing pattern
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*[[Acute (medical)|Acute]] PMC:
*[[Acute (medical)|Acute]] PMC:
**[[Mediastinal]] and hiliar [[lymphadenopathy]]
**[[Mediastinal]] and hiliar [[lymphadenopathy]]
**[[Pleural effusions]] <ref name="pmid22236894">{{cite journal| author=Barreto MM, Marchiori E, Amorim VB, Zanetti G, Takayassu TC, Escuissato DL et al.| title=Thoracic paracoccidioidomycosis: radiographic and CT findings. | journal=Radiographics | year= 2012 | volume= 32 | issue= 1 | pages= 71-84 | pmid=22236894 | doi=10.1148/rg.321115052 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22236894  }} </ref>
**[[Pleural effusions]]


=Computed Tomography=
=Computed Tomography=
Line 31: Line 31:
*Cavitary lesions
*Cavitary lesions
*[[Halo sign]]
*[[Halo sign]]
*Reversed halo sign <ref name="pmid19608361">{{cite journal| author=Marchiori E, Valiante PM, Mano CM, Zanetti G, Escuissato DL, Souza AS et al.| title=Paracoccidioidomycosis: high-resolution computed tomography-pathologic correlation. | journal=Eur J Radiol | year= 2011 | volume= 77 | issue= 1 | pages= 80-4 | pmid=19608361 | doi=10.1016/j.ejrad.2009.06.017 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19608361 }} </ref> <ref name="pmid10397100">{{cite journal| author=Funari M, Kavakama J, Shikanai-Yasuda MA, Castro LG, Bernard G, Rocha MS et al.| title=Chronic pulmonary paracoccidioidomycosis (South American blastomycosis): high-resolution CT findings in 41 patients. | journal=AJR Am J Roentgenol | year= 1999 | volume= 173 | issue= 1 | pages= 59-64 | pmid=10397100 | doi=10.2214/ajr.173.1.10397100 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10397100 }} </ref> <ref name="pmid17056912">{{cite journal| author=Souza AS, Gasparetto EL, Davaus T, Escuissato DL, Marchiori E| title=High-resolution CT findings of 77 patients with untreated pulmonary paracoccidioidomycosis. | journal=AJR Am J Roentgenol | year= 2006 | volume= 187 | issue= 5 | pages= 1248-52 | pmid=17056912 | doi=10.2214/AJR.05.1065 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17056912 }} </ref> <ref name="pmid22236894">{{cite journal| author=Barreto MM, Marchiori E, Amorim VB, Zanetti G, Takayassu TC, Escuissato DL et al.| title=Thoracic paracoccidioidomycosis: radiographic and CT findings. | journal=Radiographics | year= 2012 | volume= 32 | issue= 1 | pages= 71-84 | pmid=22236894 | doi=10.1148/rg.321115052 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22236894 }} </ref>
*Reversed halo sign<ref name="pmid22236894">{{cite journal| author=Barreto MM, Marchiori E, Amorim VB, Zanetti G, Takayassu TC, Escuissato DL et al.| title=Thoracic paracoccidioidomycosis: radiographic and CT findings. | journal=Radiographics | year= 2012 | volume= 32 | issue= 1 | pages= 71-84 | pmid=22236894 | doi=10.1148/rg.321115052 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22236894 }} </ref><ref name="pmid19608361">{{cite journal| author=Marchiori E, Valiante PM, Mano CM, Zanetti G, Escuissato DL, Souza AS et al.| title=Paracoccidioidomycosis: high-resolution computed tomography-pathologic correlation. | journal=Eur J Radiol | year= 2011 | volume= 77 | issue= 1 | pages= 80-4 | pmid=19608361 | doi=10.1016/j.ejrad.2009.06.017 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19608361 }} </ref><ref name="pmid10397100">{{cite journal| author=Funari M, Kavakama J, Shikanai-Yasuda MA, Castro LG, Bernard G, Rocha MS et al.| title=Chronic pulmonary paracoccidioidomycosis (South American blastomycosis): high-resolution CT findings in 41 patients. | journal=AJR Am J Roentgenol | year= 1999 | volume= 173 | issue= 1 | pages= 59-64 | pmid=10397100 | doi=10.2214/ajr.173.1.10397100 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10397100 }} </ref><ref name="pmid17056912">{{cite journal| author=Souza AS, Gasparetto EL, Davaus T, Escuissato DL, Marchiori E| title=High-resolution CT findings of 77 patients with untreated pulmonary paracoccidioidomycosis. | journal=AJR Am J Roentgenol | year= 2006 | volume= 187 | issue= 5 | pages= 1248-52 | pmid=17056912 | doi=10.2214/AJR.05.1065 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17056912 }} </ref>


==References==
==References==

Latest revision as of 14:54, 9 February 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac

Overview

Common chest x-ray findings in chronic PCM include bilateral and symmetric opacities, butterfly wing pattern, architectural distorsion, paracicatricial emphysema and traction bronchiectasis. There are not many chest x-ray finding in acute PCM, but it is characterized by mediastinal and hiliar lymphadenopathy and pleural effusions.[1] On thoraxic CT scan, chronic paracoccidioidomycosis is characterized by ground-glass attenuation, airspace consolidations, interlobular septal thickening, nodular pattern, fibrotic pattern, cavitary lesions, halo sign and reversed halo sign.[1][2][3][4]

Chest X-ray

Computed Tomography

  • Ground-glass attenuation
  • Airspace consolidations
  • Interlobular septal thickening
  • Nodular pattern:
    • Miliary
    • Macronodular
  • Fibrotic pattern:
    • Peribronchovascular interstitial thickening
    • Areas of cicatricial emphysema
    • Traction bronchiectasis
    • Architectural distortion
  • Cavitary lesions
  • Halo sign
  • Reversed halo sign[1][2][3][4]

References

  1. ↑ 1.0 1.1 1.2 1.3 Barreto MM, Marchiori E, Amorim VB, Zanetti G, Takayassu TC, Escuissato DL; et al. (2012). "Thoracic paracoccidioidomycosis: radiographic and CT findings". Radiographics. 32 (1): 71–84. doi:10.1148/rg.321115052. PMID 22236894.
  2. ↑ 2.0 2.1 Marchiori E, Valiante PM, Mano CM, Zanetti G, Escuissato DL, Souza AS; et al. (2011). "Paracoccidioidomycosis: high-resolution computed tomography-pathologic correlation". Eur J Radiol. 77 (1): 80–4. doi:10.1016/j.ejrad.2009.06.017. PMID 19608361.
  3. ↑ 3.0 3.1 Funari M, Kavakama J, Shikanai-Yasuda MA, Castro LG, Bernard G, Rocha MS; et al. (1999). "Chronic pulmonary paracoccidioidomycosis (South American blastomycosis): high-resolution CT findings in 41 patients". AJR Am J Roentgenol. 173 (1): 59–64. doi:10.2214/ajr.173.1.10397100. PMID 10397100.
  4. ↑ 4.0 4.1 Souza AS, Gasparetto EL, Davaus T, Escuissato DL, Marchiori E (2006). "High-resolution CT findings of 77 patients with untreated pulmonary paracoccidioidomycosis". AJR Am J Roentgenol. 187 (5): 1248–52. doi:10.2214/AJR.05.1065. PMID 17056912.
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