Computed Tomography in Pulmonary Tuberculosis

CT scans in patients with primary tuberculosis commonly show findings of Iympho-hematogeneous spread of the disease, while those of reactivation tuberculosis commonly show findings of bronchogenic spread. Typical CT findings of primary tuberculosis are airspace consolidation of the middle and lower lobes with mediastinal and hilar lymphadenopathy showing central lower attenuation and peripheral rim en- . hancement. Typical CT findings of reactivation tuberculosis are nodular and linear pulmonary lesions at the apex without lymphadenopathy. High-resolution CT is extremely helpful in understanding the patho-morphologic changes, mode of spread of the disease, sequential morphologic change after antituberculous chemotherapy, and possibly in diagnosing activity of the disease. Centrilobular small nodule or branching linear lesions are the most common findings of fresh active pulmonary tuberculosis, which represent intra- and peri-bronchiolar caseation necrosis. CT is also useful in the evaluation of longstanding destructive pulmonary lesions and tracheobronchial tuberculosis. The importance of the role of CT scan in patients with pulmonary tuberculosis is increasing

Chronic Pelvic Paragonimiasis: Radiological Findings

Two cases of ectopic paragonimiasis involving pelvic peritoneal cavity and omentum were confirmed surgically and pathologically, The lesions were manifested as nodules of faintly calcified periphery on various imaging modalities. Ectopic paragonimiasis should be included in the differential diagnosis of nodular calcifications in the pelvic cavity

Pulmonary tuberculosis in infants: radiographic and CT findings

OBJECTIVE: As complications of tuberculosis are frequent in infancy, correct diagnosis of tuberculosis in infants is important. The purposes of this study are to summarize radiographic and CT findings of pulmonary tuberculosis in infants and to determine the radiologic features frequently seen in infants with this disease. CONCLUSION: Frequent radiologic findings of pulmonary tuberculosis in infants are mediastinal or hilar lymphadenopathy with central necrosis and air-space consolidations, especially masslike consolidations with low-attenuation areas or cavities within the consolidation. Disseminated pulmonary nodules and airway complications are also frequently detected in this age group. CT is a useful diagnostic technique in infants with tuberculosis because it can show parenchymal lesions and tuberculous lymphadenopathy better than chest radiography. CT scans can also be helpful when chest radiographs are inconclusive or complications of tuberculosis are suspected

Radiological Spectrum of Hepatic Mesenchymal Hamartoma in Children

OBJECTIVE: A hepatic mesenchymal hamartoma is an uncommon benign tumor in children and little is known about the spectrum of its radiological features. The purpose of this study is to describe the spectrum of radiological features of a hepatic mesenchymal hamartoma in children. MATERIALS AND METHODS: Thirteen children with a pathologically confirmed hepatic mesenchymal hamartoma (M:F = 7:6; mean age, 3 years 2 months) were included in our study. Ultrasonography (US) was performed in nine patients including color and power Doppler US (n = 7). CT scans were performed in all patients. We evaluated the imaging findings of the hepatic mesenchymal hamartomas and the corresponding pathological features. RESULTS: Each patient had a single tumor (mean diameter: 13 cm [1.8-20 cm]). On CT and/or US, four patients (31%) had a "multiseptated cystic tumor", five patients (38%) had a "mixed solid and cystic tumor", and four patients (31%) had a "solid tumor." The septa of the cystic portion were thin in the multiseptated cystic tumors and irregularly thick in the mixed solid and cystic tumors as seen on US. On a post-contrast CT scan, solid portions or thick septa of the tumors showed heterogeneous enhancement. The amount of hepatocytes was significantly different among the three tumor groups according to the imaging spectrum (p = 0.042). CONCLUSION: A hepatic mesenchymal hamartoma in children can show a wide spectrum of radiological features, from a multiseptated cystic tumor to a mixed solid and cystic tumor, and even a solid tumor

Unusual Thymic Hyperplasia Mimicking Lipomatous Tumor in an Eight-Year-Old Boy with Concomitant Pericardial Lipomatosis and Right Facial Hemihypertrophy

We report a case of thymic hyperplasia accompanied by pericardial lipomatosis and right facial hemihypertrophy in an 8-year-old boy. On imaging studies, the hyperplastic thymus had prominent curvilinear and nodular fatty areas simulating a fat-containing anterior mediastinal mass, which is an unusual finding in children. To our knowledge, this is the first report on a child with a combination of thymic hyperplasia, pericardial lipomatosis, and right facial hemihypertrophy. The radiologic findings are presented with a brief discussion