Imaging Manifestations of Pneumocystis Carinii Pneumonia in AIDS(A Report of 18 Cases)
- VernacularTitle:艾滋病患者卡氏肺囊虫肺炎的影像学表现(附18例报告)
- Author:
Hengrui SHI
;
Jianmin ZHAO
;
Ming JIANG
- Publication Type:Journal Article
- Keywords:
chest;
AIDS;
pneumocystis carinii;
radigraphy;
tomography ,X-ray computed
- From:
Journal of Practical Radiology
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the X-ray and CT findings of pneumocystis carinii pneumonia(PCP)in AIDS.Methods 18 cases with PCP in AIDS proved by clinic and pathologically were collected.HIV antibody was positive in all cases.Chest radigraphy and CT scan were taken in all cases.The imaging findings were analysed.Results The typical features of PCP on radiography and CT included unsymmetric diffuse mesh or reticulo-nodular changes,symmetric ground-glass opacification and many more even lobar consolidations which distributed in bilateral hilar regions and middle-lower lung fields.The atypical manifestations included cystic lesions,lobar consolidation,hilar and/or mediastinal adenopathy,pleural effusion,pneumothorax,atelectasis,mass and cavity-mass.Conclusion Plain chest film and CT scan are of important value in diagnosis of PCP.It is possible to diagnose PCP in patients with typical imaging manifestations positive HIV and in combination with clinical data.