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Comparison of the Spectrum of Radiologic and Clinical Manifestations of Pulmonary Disease Caused by Mycobacterium avium Complex and Mycobacterium xenopi 

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Presentation on theme: "Comparison of the Spectrum of Radiologic and Clinical Manifestations of Pulmonary Disease Caused by Mycobacterium avium Complex and Mycobacterium xenopi "— Presentation transcript:

1 Comparison of the Spectrum of Radiologic and Clinical Manifestations of Pulmonary Disease Caused by Mycobacterium avium Complex and Mycobacterium xenopi  Maria C. Carrillo, MD, Demetris Patsios, MD, Ute Wagnetz, MD, Frances Jamieson, MD, Theodore K. Marras, MD, FRCPC, MSc  Canadian Association of Radiologists Journal  Volume 65, Issue 3, Pages (August 2014) DOI: /j.carj Copyright © 2014 Canadian Association of Radiologists Terms and Conditions

2 Figure 1 Emphysema in the left upper lobe in a patient with Mycobacterium xenopi infection. Compared with Mycobacterium avium complex, patients with M xenopi more often have emphysema. The image also depicts a large cavity with thick walls that involved the right upper lobe. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © 2014 Canadian Association of Radiologists Terms and Conditions

3 Figure 2 (A) Multiple cavities with thin walls are seen in the right upper lobe in a patient with Mycobacterium avium complex infection. (B) A large cavity with thick walls in the right upper lobe in a patient with Mycobacterium xenopi infection. Cavities were more frequent in patients with M xenopi pulmonary infection in our study. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © 2014 Canadian Association of Radiologists Terms and Conditions

4 Figure 3 (A) Bronchiectasis in the right middle lobe and lingula, and nodules in the right and left lower lobes in a patient with Mycobacterium avium complex (MAC) infection. MAC was more often associated with bronchiectasis and a nodular bronchiectatic computed tomography pattern in our study. (B) Bronchiectasis, bronchial wall thickening, and nodules in the right upper lobe in a patient with Mycobacterium xenopi infection. The left upper lobe depicts some areas of emphysema. M xenopi is more often associated with a cavitary pattern and nodules in our study. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © 2014 Canadian Association of Radiologists Terms and Conditions

5 Figure 4 (A) Bronchiectasis with volume loss in the right middle lobe and numerous small nodules in the right lower lobe. (B) Bronchiectasis in the right lower lobe (black arrow) and a small peripheral area of airspace disease (white arrow) Bronchiectasis in our study was more common with Mycobacterium avium complex (A) vs Mycobacterium xenopi (B). Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © 2014 Canadian Association of Radiologists Terms and Conditions

6 Figure 5 (A) Airspace disease with consolidation and cavities in a patient with Mycobacterium avium complex (MAC) infection. (B) Ground-glass opacities and consolidation in a patient with Mycobacterium xenopi infection. Consolidation was seen with similar frequency in the present study in patients with MAC and M xenopi pulmonary infection. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © 2014 Canadian Association of Radiologists Terms and Conditions

7 Figure 6 (A, B) Pulmonary nodules in the right lower lobe in 2 patients with Mycobacterium xenopi. Nodules were more prevalent in patients with M xenopi infection in our study. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © 2014 Canadian Association of Radiologists Terms and Conditions


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