Histoplasmosis chest x ray: Difference between revisions

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==Overview==
==Overview==
Chest X-Ray in patients with pulmonary histoplasmosis demonstrate bilateral hilar lymphadenopathy, pulmonary nodules and occasionally pulmonary nodules.


==Chest X Ray==
==Chest X Ray==

Revision as of 17:57, 4 May 2017

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

Overview

Chest X-Ray in patients with pulmonary histoplasmosis demonstrate bilateral hilar lymphadenopathy, pulmonary nodules and occasionally pulmonary nodules.

Chest X Ray

  • Most patients with histoplasmosis (up to 70%) are thought to have normal chest radiographs.[1]
  • The particular imaging features are related to the timeline of presentation and the patient's ability to mount an immune response.
  • Acute histoplasmosis may be associated with airspace shadowing with consolidation involving multiple lung segments or lobes similar to bacterial pneumonia.
  • Chest radiographs may also demonstrate enlarged hilar and mediastinal lymph nodes. [2]
  • Pleural effusions are also possible, but uncommon.[3]
  • Patients with chronic histoplasmosis may present with pulmonary nodules.[2]

References

  1. Silberberg P. "Radiology Teaching Files: Case 224856 (Histoplasmosis)".
  2. 2.0 2.1 Kauffman CA (2007). "Histoplasmosis: a clinical and laboratory update". Clin Microbiol Rev. 20 (1): 115–32. doi:10.1128/CMR.00027-06. PMC 1797635. PMID 17223625.
  3. Thoracic histoplasmosis. Radiopaedia.org. Available at: http://radiopaedia.org/articles/thoracic-histoplasmosis-1. Accessed February 2, 2016.