Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Feurestein, I. M.
Right arrow Articles by Travis, W. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Feurestein, I. M.
Right arrow Articles by Travis, W. D.

Radiology, Vol 174, 697-702, Copyright © 1990 by Radiological Society of North America

ARTICLES

Thin-walled cavities, cysts, and pneumothorax in Pneumocystis carinii pneumonia: further observations with histopathologic correlation

IM Feurestein, A Archer, JM Pluda, PS Francis, J Falloon, H Masur, HI Pass and WD Travis
Diagnostic Radiology Department, Warren G. Magnuson Clinical Center, National Institutes of Health, Bethesda, MD 20892.

Thin-walled pulmonary cystic lesions were found in five immunocompromised patients, four with acquired immunodeficiency syndrome (AIDS). Four patients had Pneumocystis carinii pneumonia (PCP), and one had pulmonary lesions and disseminated P carinii infection. Two patients demonstrated P carinii within necrotizing, thin- walled, smaller intraparenchymal cavities lined by organisms, exudate, and chronic inflammation. Larger, typically apical and subpleural cysts, lined by fibrosis and/or alveolar parenchyma with little inflammation, were also found during acute episodes. The larger subpleural cysts can arise via rupture of intraparenchymal necrotizing cavities into the subpleural area. Pneumothorax in the four patients with AIDS could not be cured by close thoracostomy drainage; all required pleurodesis. The cysts persisted in cases that were followed up. All cysts were more obvious and numerous with computed tomography (CT), especially with 1.5-mm collimation. CT may be indicated in immunocompromised patients with unexplained pneumothorax or when tube thoracostomy has failed and surgery is being considered, as it can positively influence the operative approach.


This article has been cited by other articles:


Home page
 Clin. Microbiol. Rev.Home page
L. B. Gadkowski and J. E. Stout
Cavitary Pulmonary Disease
Clin. Microbiol. Rev., April 1, 2008; 21(2): 305 - 333.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
A. Tazi
Adult pulmonary Langerhans' cell histiocytosis.
Eur. Respir. J., June 1, 2006; 27(6): 1272 - 1285.
[Abstract] [Full Text] [PDF]

Home page
 ImagingHome page
L J King and S P G Padley
Imaging of the thorax in AIDS
Imaging, February 1, 2002; 14(1): 60 - 76.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
A. Tazi, P. Soler, and A. J Hance
Rare diseases bullet 9: Adult pulmonary Langerhans' cell histiocytosis
Thorax, May 1, 2000; 55(5): 405 - 416.
[Full Text]

Home page
 RadiologyHome page
T. Johkoh, N. L. Müller, H. A. Pickford, T. E. Hartman, K. Ichikado, M. Akira, O. Honda, and H. Nakamura
Lymphocytic Interstitial Pneumonia: Thin-Section CT Findings in 22 Patients
Radiology, August 1, 1999; 212(2): 567 - 572.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1990 by the Radiological Society of North America.