Tuberculosis and Respiratory Diseases

  • 제65권4호
  • /
  • Pages.339-342
  • /
  • 2008
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  • 1738-3536(pISSN)
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  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

폐결핵의 치료 중에 발생한 일시적인 방사선학적 악화를 보인 1예: 초기 CT 소견

A Case of Transient Radiographic Progression during Treatment of Pulmonary Tuberculosis: Early CT Findings

  • 유승민 (포천중문의과대학교 분당차병원 영상의학교실) ;
  • 이화연 (중앙대학교 의과대학 용산병원 영상의학교실)
  • Yoo, Seung Min (Department of Diagnostic Radiology, Pochon Cha University College of Medicine) ;
  • Lee, Hwa Yeon (Department of Diagnostic Radiology, Chung-Ang University College of Medicine)
  • 투고 : 2008.06.13
  • 심사 : 2008.06.17
  • 발행 : 2008.10.30
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초록

본 증례에서 폐결핵의 치료 중에 발생한 일시적인 방사선학적 악화의 초기 CT 소견은 폐 주변부에 발생한 폐소엽간 혹은 폐소엽 내 중격비후, 그리고 미세결절들이었다. 후기 CT 소견은 폐 주변부에 위치하고 내부에 저음영을 가지며 조영 증강이 잘되는 폐결절이었다. 폐결핵을 처음 치료하는 젊은 환자에서 임상적인 악화 없이 이러한 CT 소견이 보일 때 일시적인 방사선학적 악화를 의심해야 한다.

Early CT findings of transient radiographic progression (TRP) during treatment of active pulmonary tuberculosis including subpleural, interlobular or intralobular septal thickening and micronodules are shown in the present case. Late CT findings of TRP are subpleural, enhancing nodular infiltration with internal low attenuation. These CT features accompanied by a lack of clinical worsening in young patients taking antituberculous medication due to pulmonary tuberculosis can help to differentiate TRP from other disease entities.

키워드

참고문헌

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