Pulmonary Tuberculosis Confirmed by Percutaneous Transthoracic Needle Biopsy: Analysis of CT Findings and Review of Correlations with Underlying Lung Disease

Year 2014, Volume: 31 Issue: 3, 208 - 213, 01.07.2014

Ji Young Choo Ki Yeol Lee Eun-young Kang Yu Whan Oh Seung Hwa Lee Bo Kyung Seo Bo Kyung Je Mi-young Kim

Abstract

_Pulmonary tuberculosis (TB) can produce unusual radiographic findings. Further, negative sputum and bronchoscopic results are common. Early diagnosis is equally as significant as treatment in the reduction of morbidity and mortality associated with pulmonary TB. Aims_ The aim of this study was to assess computed tomography (CT) findings of pulmonary TB, confirmed via percutaneous transthoracic needle biopsy (PTNB), and to correlate these findings with coexisting, underlying, lung diseases if present. Study Design_ Cross sectional study. Methods_ We selected eighty-four patients who were diagnosed with pulmonary TB by way of PTNB. Initially, acid-fast bacilli smear test results from these patients were negative. CT findings were reviewed to detect the presence of parenchymal abnormalities as follows_ nodule(s) (_3 cm in diameter), mass (any masses ≥3 cm), daughter nodules, air-space consolidation, cavitation, calcification, lymphadenopathy, mediastinal lymphadenopathy, and associated lung parenchymal disease. Results_ The CT findings of pulmonary TB confirmed by PTNB included nodules in 44 of 84 (52.4%) cases

Keywords

Percutaneous transthoracic needle biopsy, pulmonary, tuberculosis

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