胸腹多发结核病：播散性肺结核的放射学表现

Q4 Medicine

Radiology Case Reports Pub Date : 2024-09-24 DOI:10.1016/j.radcr.2024.09.041

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引用次数: 0

摘要

肺结核在美国的高危人群中更为常见。它的诊断具有挑战性，因为它可能会出现多种器官受累，从而延误诊断。肝结核的情况尤其如此，每项研究的发病率都不尽相同，但都高度提示诊断不足。一名 18 岁的男性患者因发热、盗汗、体重减轻和咳嗽而被诊断为耐多药肺结核。影像学检查发现右肺空洞性肿块，伴有双侧肺结节，右胸膜结节性增厚穿越膈肌延伸至肝脏，肝脏囊下分叶低密度。磁共振成像显示脊柱受累，与波特氏病一致。在肝脏病变的鉴别诊断中考虑肝结核非常重要，这样可以及早发现和治疗，优化患者的预后。

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Multiloculated thoracoabdominal tuberculosis: A radiological presentation of disseminated tuberculosis

Tuberculosis is more frequently found among high-risk populations in the United States. It has a challenging diagnosis since it can present with diverse organ involvement that may delay the diagnosis. This is especially true regarding hepatic tuberculosis, with prevalence varying in each study but highly suggestive of underdiagnosis. An 18-year-old male with high-risk exposure to multidrug-resistant tuberculosis presented with fever, night sweats, weight loss, and cough. Imaging revealed a right lung cavitary mass with bilateral pulmonary nodules, right pleural nodular thickening traversing diaphragm extending to the liver with subcapsular hepatic lobulated hypodensities. MRI showed spinal involvement consistent with Pott's disease. It is important to consider hepatic tuberculosis in differential diagnoses for a hepatic lesion, allowing early detection and treatment to optimize patient outcomes.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.