Cystic lesions in multislice computed tomography of the chest: A diagnostic approach

Sabri, Youssriah Yahia; Hafez, Mona Ahmed Fouad; Assal, Hebata-Allah Hany; Abdullah, Hassan

doi:10.1016/j.ejrnm.2016.08.003

Cited by 2 publications

(3 citation statements)

References 24 publications

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“…Langerhans cell histiocytosis is one of the chILD diseases that is not specific to infancy, with portions of the systemic disease with pulmonary involvement presenting in 20-50% of the cases [10]. CT shows nodules of varying size and bizarre pulmonary cyst shapes, with upper lobe predominance [13]. This was consistent with our case diagnosed with Langerhans cell histiocytosis (Fig.…”

Section: Discussionsupporting

confidence: 88%

Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients

Hafez

Singh

Sayed

et al. 2022

Egypt J Radiol Nucl Med

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Background Pediatric chronic lung disease (CLD) represents a heterogeneous group of several distinct clinical entities, with its prevalence increasing over the last decade. The current study aimed to identify the role of chest multidetector computed tomography (MDCT) using modified Bhalla scoring for the early diagnosis of CLD in pediatric patients and determine the most common chest MDCT findings. This prospective study involved 45 pediatric patients with chronic respiratory symptoms, all of whom underwent MDCT. Thereafter, data were analyzed using the modified Bhalla score. Results Chronic lung diseases were classified according to their radiological and clinical criteria. The total CT score, which was the most significant factor for chronic inhalation and chronic recurrent inflammatory lung diseases, varied between 2 and 21 points, with those having autoimmune diseases exhibiting the largest value for the mean CT score. The clinical severity of symptoms was not correlated with CT score. Conclusion Our findings showed that MDCT was a useful tool for diagnosing pediatric CLD and assessing disease extent, severity, and superimposed complications. The modified Bhalla CT scoring system allowed for systematic primary and follow-up assessments of various lung lesions in cases with varying CLD etiologies.

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Section: Discussionsupporting

confidence: 88%

Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients

Hafez

Singh

Sayed

et al. 2022

Egypt J Radiol Nucl Med

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“…The historical definition of cystic lung disease by default has only been derived from the non-indigenous populations and suggests that lungs cysts are a distinct entity as opposed to the more common cyst-like lung diseases of emphysema and bronchiectasis. [28][29][30] It is unknown if the significantly increased respiratory disease burden from emphysema and bronchiectasis in the Indigenous population and perhaps lung cysts may or may not represent a spectrum of distinct pathological entities, and if there is any underlying genetic predisposition that is expressed more in the Indigenous population due to environmental or other extrinsic factors, for example: smoking. In this study almost 100% of the patients had a smoking history, when data was available.…”

Section: Discussionmentioning

confidence: 99%

“…In this case study, a significant proportion of patients were observed to have emphysema or bronchiectasis and to demonstrate cysts that in the majority were considered to be distinct either from emphysema or bronchiectasis. The historical definition of cystic lung disease by default has only been derived from the non‐indigenous populations and suggests that lungs cysts are a distinct entity as opposed to the more common cyst‐like lung diseases of emphysema and bronchiectasis 28–30 . It is unknown if the significantly increased respiratory disease burden from emphysema and bronchiectasis in the Indigenous population and perhaps lung cysts may or may not represent a spectrum of distinct pathological entities, and if there is any underlying genetic predisposition that is expressed more in the Indigenous population due to environmental or other extrinsic factors, for example: smoking.…”

Section: Discussionmentioning

confidence: 99%

Cystic lung disease in adult Indigenous Australians in the Northern Territory of Australia

Mishra,

Fazal,

Howarth

et al. 2023

J Med Imag Rad Onc

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IntroductionIndigenous Australians have a high prevalence of chronic lung diseases. However, no previous studies have reported on cystic lung disease in an Indigenous patient cohort.MethodsThis report describes 20 adult Indigenous patients noted to have incidental lung cysts on chest computed tomography (CT) while being referred to undergo lung function tests in the Northern Territory of Australia.ResultsOf the total 20 Indigenous patients demonstrating presence of pulmonary cysts on chest CT scan, 13/20 (65%) were males with a mean age of 49.9 years (range 24–74 years), with no significant difference in age between males and females. The majority reported a smoking history and spirometry demonstrated moderate reduction in lung function parameters. While there was no pattern in the size or location of cysts, most demonstrated multiple cysts (55% had ≥5 cysts) with bilateral involvement (65%), alongside a range of concurrent pulmonary radiological abnormalities. The aetiology for lung cysts was largely unknown.ConclusionThis is the first report to illustrate cystic lung disease within an Indigenous population. Further radiology studies are required to investigate the causes and prognostications of cystic lung disease in Indigenous patients.

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Cystic lesions in multislice computed tomography of the chest: A diagnostic approach

Cited by 2 publications

References 24 publications

Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients

Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients

Cystic lung disease in adult Indigenous Australians in the Northern Territory of Australia

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