Tzu Chi Medical Journal
Volume 22, Issue 2 , Pages 111-114, June 2010

Cystic Lung Changes in a Patient With Pulmonary Tuberculosis

  • Kun-Eng Lim

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, 289, Jianguo Road, Jindian, Taipei, Taiwan
    • ,
  • Yav-Kuang Wu

      Affiliations

    • Department of Pulmonary Medicine, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Shiu-Feng Huang

      Affiliations

    • Department of Pathology, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Yuan-Yu Hsu

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Cheng-Yi Chan

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Yueh-Hua Tsai

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Hsu-Chao Chang

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Hsiu-Wen Kuo

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan

Received 11 May 2009; received in revised form 22 June 2009; accepted 6 April 2010.

Article Outline

Abstract 

A 32-year-old male had complained of a dry cough on and off for 1 year. Chest radiography revealed reticular infiltration of bilateral lungs. Chest computed tomography showed multiple thin-walled cystic lesions of bilateral lungs with a scattered tree-in-bud appearance. Histological diagnosis obtained via a video-assisted thoracoscopic lung biopsy indicated pulmonary tuberculosis. The cystic lesions regressed after antituberculous chemotherapy. Active pulmonary tuberculosis presenting as multiple cystic lung lesions on computed tomography is very rare. Here, we report the computed tomo-graphic findings for this patient and review the literature.

Keywords:  Computed tomography , Cystic lesions , Lung , Tuberculosis

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Hadlock HP , Park SK , Awe RJ , Rivera M . Unusual radiographic findings in adult pulmonary tuberculosis . AJR Am J Roentgenol . 1980;134:1015–1018
  2. Miller WT , Macgregor RR . Tuberculosis: frequency of unusual radiographic findings . AJR Am J Roentgenol . 1978;130:867–875
  3. Lee KS , Song KS , Lim TH , Kim Y , Kim PN , Lee BH . Adultonset pulmonary tuberculosis: findings on chest radiographs and CT scans . AJR Am J Roentgenol . 1993;160:753–758
  4. Palmar PES . Pulmonary tuberculosis: usual and unusual radio graphic presentations . Semin Roentgenol . 1979;14:204–243
  5. Lee JY , Lee KS , Jung KJ , et al.   Pulmonary tuberculosis: CT and pathologic correlation . J Comput Assist Tomogr . 2000;24:691–698
  6. Ko KS , Lee KS , Kim Y , Kim SJ , Kwon OJ , Kim JS . Reversible cystic disease associated with pulmonary tuberculosis: radiologic findings . Radiology . 1997;204:165–169
  7. Singh HK , Mital OP . The radiological appearance of isoniazid cysts . Indian J Chest Dis Allied Sci . 1968;10:208–210
  8. Fernandez A , Shah MD , Buhariwalla RJ . Multiple isoniazid cysts in a child with chronic pulmonary tuberculosis . Indian Pediatr . 1972;9:49–50
  9. Takemura T , Aklyama O , Yanagawa T , Ikushima S , Ando T , Oritsu M . Pulmonary tuberculosis with unusual cystic change in an immunocompromised host . Pathol Int . 2000;50:672–677
  10. Blosset CF . Subpleural emphysema complicating staphylococcal and other pneumonias . J Pediatr . 1972;81:259–266
  11. Amitar I , Molge P , Godfrey S , Aviad I . Pneumatocele in infants and children . Clin Pediatr . 1983;22:420–422
  12. Koyama M , Johkoh T , Honda O , et al.   Chronic cystic lung disease: diagnostic accuracy of high-resolution CT in 92 patients . AJR Am J Roentgenol . 2003;180:827–835
  13. Lee KH , Lee JS , Lynch DA , Song KS , Lim TH . The radiologic differential diagnosis of diffuse lung diseases characterized by multiple cysts or cavities . J Comput Assist Tomogr . 2002;26:5–12

PII: S1016-3190(10)60051-1

doi:10.1016/S1016-3190(10)60051-1

Tzu Chi Medical Journal
Volume 22, Issue 2 , Pages 111-114, June 2010

Article Tools