The CT finding early in the life of children with PIBO, when assessed by the Bhalla, score seem to anticipate future LF status.
improved as a result of advances in surgical technique, careful harvesting/preservation of donor organs, improvements in immunosuppressive therapy and earlier recognition of complications with the use of various imaging techniques. The reported one-, five-, ten-and fifteen-year survival rates are 75%, 50%, 35% and 25%, respectively. (3,4) The most common cause of mortality in the first 6 months is bacterial infection, which is thereafter supplanted by chronic graft dysfunction. The clinical and radiological manifestations of postoperative complications can be nonspeLung transplantation has become an established technique for the treatment of end-stage pulmonary diseases in adults.(1,2) The number of transplantations performed annually and the number of centers performing lung transplantations continue to increase.(1,2) Although single lung transplantation was previously more common, double lung transplantation is currently the preferred option for all patients with end-stage pulmonary disease, due to the better long-term survival of patients submitted to the latter procedure. AbstractDue to the increasing number and improved survival of lung transplant recipients, radiologists should be aware of the imaging features of the postoperative complications that can occur in such patients. The early treatment of complications is important for the long-term survival of lung transplant recipients. Frequently, HRCT plays a central role in the investigation of such complications. Early recognition of the signs of complications allows treatment to be initiated earlier, which improves survival. The aim of this pictorial review was to demonstrate the CT scan appearance of pulmonary complications such as reperfusion edema, acute rejection, infection, pulmonary thromboembolism, chronic rejection, bronchiolitis obliterans syndrome, cryptogenic organizing pneumonia, posttransplant lymphoproliferative disorder, bronchial dehiscence and bronchial stenosis.Keywords: Tomography, X-ray computed; Lung transplantation; Postoperative complications. ResumoCom o número cada vez maior e uma melhor sobrevida dos pacientes submetidos ao transplante pulmonar, os radiologistas devem estar cientes das diversas possibilidades de complicações associadas ao transplante de pulmão. O tratamento precoce das complicações é importante para a sobrevida a longo prazo dos receptores de transplante pulmonar. Com frequência, a TCAR desempenha um papel central na investigação de tais complicações. O reconhecimento precoce dos sinais de complicações proporciona um tratamento rápido e melhora a sobrevida. O objetivo desta revisão pictórica foi proporcionar uma visão sobre as complicações mais prevalentes na TC, tais como edema de reperfusão, rejeição aguda, infecção, tromboembolismo pulmonar, rejeição crônica, síndrome da bronquiolite obliterante, pneumonia em organização criptogênica, doença linfoproliferativa pós-transplante, deiscência brôn-quica e estenose brônquica Descritores: Tomografia computadorizada por raios X; Transplante de pulmão; Complicações...
We present the case of a 54-year-old patient who presented to our institution 4 months after refusing surgical treatment for a right upper lobe cavitary carcinoma. Weight loss, hemoptysis, and worsening pulsatile chest pain were the complaints. Radiologic restaging surprisingly revealed a large pulmonary artery pseudoaneurysm occupying the whole cavity area. A right pneumonectomy with intrapericardial pulmonary artery ligation was performed. Previous cases are extremely rare and differ from ours as patients presented with advanced lung cancer and thus, were not treated with resection, but with coil embolization.
R e v i s t a P o r t u g u e s a d e P n e u m o l o g i a Artigo de Revisão Review ArticleResumo O termo bronquiectasia é definido como uma dilatação brônquica anormal persistente geralmente associada a inflamação na via aérea e no parênquima pulmonar. A doença continua a ser uma causa comum de morbidade e mortalidade, especialmente quando associada a doenças hereditárias, como a fibrose císti-ca, a discinesia ciliar e a alguns estados de imunodeficiência. A tomografia computadorizada é, actualmente, a modalidade de escolha para o dianóstico e pode também contribuir para o manejo clínico, sugerindo AbstractBronchiectasis is defined as an abnormal persistent bronchial dilatation usualy associated with inflammation in the bronchial tree and lung parenchyma. The disease remains a common cause of significant morbidity and mortality, especially when associated with hereditary disorders such as cystic fibrosis, ciliary dyskinesia, and immunodeficiency states. Computed tomography is now the diagnostic modality of choice and may also contribute to clinical management, suggesting some etiologic causes. We highlight
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