Interpretation of Chest Radiographs in Infants with Cough and Fever

Bramson, Robert T.; Griscom, N. Thorne; Cleveland, Robert H.

doi:10.1148/radiol.2361041278

Cited by 63 publications

(34 citation statements)

References 5 publications

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“…Parahilar peribronchial infiltrates, hyperexpansion, segmental or lobar atelectasis, and hilar adenopathy have been common radiographic findings in the viral respiratory tract infections of children. The results of this study confirmed these findings (13,(16)(17)(18)(19)(20)(21).…”

Section: Discussionsupporting

confidence: 88%

“…The current study showed that about 60% of laboratory confirmed patients had normal radiographs. Among those with radiographic abnormalities, the most common finding was peribronchial increased opacities, similar to other reports of H1N1 in children (13) and other viral pneumonia in children (14,(16)(17)(18)(19)(20). Parahilar peribronchial infiltrates, hyperexpansion, segmental or lobar atelectasis, and hilar adenopathy have been common radiographic findings in the viral respiratory tract infections of children.…”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

Chest Radiographic Findings of Novel Swine-Origin Influenza A (H1N1) Virus Infection in Children

Bae

Hong

Chang

et al. 2011

J Korean Soc Radiol

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Purpose: To analyze chest radiographic findings in children infected with laboratoryconfirmed novel swine-origin influenza A (H1N1) virus. Materials and Methods: Three hundred seventy-two out of 2,014 children with laboratory confirmed H1N1 infection and who also underwent a chest radiograph from September to November 2009 were enrolled in this study. Patients were divided into in-patients, out-patients, and patients with co-infections and further subdivided into with underlying disease and without underlying disease as well as age (<2 years old, 2-5 years, 5-10 years, 10-18 years old). The initial radiographs were evaluated for radiographic findings and the anatomic distribution of abnormalities. Results: The initial radiographs were abnormal in 154 (41.39%) patients. The predominant radiographic findings were peribronchial wall opacity found in 85 (22.84%) patients and hyperinflation observed in 69 (18.54%) patients. Further, 75 (71.42%) patients exhibited central predominance and the right lower lung zone was also commonly involved. There were statistically significant differences in the radiological findings between in-patient and out-patient groups. However, there were no significant differences in the radiographic findings between in-patients and the co-infection group with respect the presence of underlying disease and age. Conclusion: Initial radiographs of children with laboratory confirmed H1N1 virus were abnormal in 41.39% of cases. The common radiographic findings included peribronchial opacities, hyperinflation, lower lung zonal distribution, and central predominance.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 86%

Chest Radiographic Findings of Novel Swine-Origin Influenza A (H1N1) Virus Infection in Children

Bae

Hong

Chang

et al. 2011

J Korean Soc Radiol

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“…In addition to pulmonary alveolar proteinosis, mosaic shadows are common in adult respiratory distress syndrome, bacterial pneumonia, AIP, and diffuse alveolar damage of usual interstitial pneumonia (UIP). Compared to desquamative interstitial pneumonia (DIP), UIP has older onset ages and obvious interlobular septal thickening shadows (Wittram et al, 2003;Bramson et al, 2005;Levine et al, 2007). However, children's ILD, especially children's infectious interstitial pneumonia, mostly led to the involvement of alveolar spaces, alveolar ducts, and small airways, whereas interlobular septal thickening was not common.…”

Section: Patchy Ground-glass Opacitiesmentioning

confidence: 99%

“…The intuitive reasons for bronchiectasis are a decrease in lung volume and fibrosis around lesions. Bramson et al (2005) indicated that bronchiectasis caused by pyogenic bacteria and viral infections often occurred in the two lower lungs. Due to the occlusion of its distal bronchi, bronchiectasis usually occurs in medium-sized bronchia.…”

Section: Bronchiectasismentioning

confidence: 99%

High resolution computed tomography and classification of children with interstitial lung diseases

Lai

Cao

et al. 2014

Genet. Mol. Res.

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ABSTRACT. High resolution computed tomography (HRCT) was used to classify children with interstitial lung diseases (ILD). Sixty children with ILD underwent HRCT in supine position under freerespiratory conditions during scanning. Children under 5 years old were sedated with chloral hydrate and the scanning scope was from the lung apex to the diaphragm. In children older than 5 years old, scans were obtained at three levels: aortic arch, tracheal carina, and 1 cm above the right diaphragm. Five infectious patients were followed up. Two experienced radiologists read the films blindly to observe the type and distribution of ground-glass opacities and bronchovascular bundle abnormalities. Bronchovascular bundles were thick in 49 patients, and were thick and stiff in 27 patients. Of the 41 infectious patients, 39 showed thickened bronchovascular bundles, and 26 showed thick and stiff bronchovascular bundles. Of the 19 non-infectious patients, bronchovascular bundles were thickened in 10 patients, and were thick and stiff in 1 patient. Fortyone patients showed lobular ground-glass opacity (32 infectious, 9 non-infectious). Twenty-seven patients showed both bronchovascular bundle abnormality and lobular ground-glass opacity (20 infectious, 7 non-infectious). Eighteen patients showed patchy or mosaic ground-glass opacity (16 infectious, 2 non-infectious). There were 4 cases of bronchiectasis. HRCT is the first non-invasive diagnostic method for children with ILD, and its different manifestations can be classified. In early manifestation, bronchovascular bundles were abnormal and complicated with lobular ground-glass opacity. Patchy ground-glass opacity was the most common manifestation, and appeared to be difficult to disappear. Bronchiectasis indicated that the disease is irretrievable.

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“…Z piśmiennictwa wynika, że okrą-głe zapalenie płuc jest częściej rozpoznawane u dzieci [4]. Jego przyczyną może być uwarunkowany rozwojem płuc brak dróg obocznych (porów Kohna, kanałów Lamberta), co ogranicza rozprzestrzenianie się zapalenia [5]. Czynniki etiologiczne okrągłego zapalenia płuc są typowe dla pozaszpitalnych zakażeń układu oddechowego.…”

Section: Dyskusjaunclassified

TECHNIKI OBRAZOWANIA Single round shadow of the lung: carcinoma or round pneumonia? – diagnostic problem, differential diagnosis

Halkiewicz¹,

Kozielski²,

Witkowska-Klinke³

et al. 2012

kitp

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StreszczenieCień okrągły w obrazie radiologicznym płuc jest ważnym objawem chorób o różnej etiologii, w tym nowotworów płuc. W pracy przedstawiono przypadek chorego z zapaleniem płuc, z obrazem radiologicznym cienia okrągłego sugerującym nowotwór. Omówiono diagnostykę różnicową pojedynczego cienia okrągłego w tkance płucnej ze szczególnym uwzględnie-niem zmian zapalnych. Słowa kluczowe: cień okrągły, guz, zapalenie płuc. AbstractRound shadow in the radiological images of the lungs is an important symptom of various diseases including pulmonary neoplasms. In the paper there is described a patient with pneumonia with radiological features of a round shadow suggesting tumor. The differential diagnostics of the single round shadow of the lung are described including inflammatory changes.

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Interpretation of Chest Radiographs in Infants with Cough and Fever

Cited by 63 publications

References 5 publications

Chest Radiographic Findings of Novel Swine-Origin Influenza A (H1N1) Virus Infection in Children

Chest Radiographic Findings of Novel Swine-Origin Influenza A (H1N1) Virus Infection in Children

High resolution computed tomography and classification of children with interstitial lung diseases

TECHNIKI OBRAZOWANIA Single round shadow of the lung: carcinoma or round pneumonia? – diagnostic problem, differential diagnosis

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