By Jinxin Liu, Tang Xiaoping
This Atlas of AIDS Co-infection illustrates imaging positive factors and medical results of AIDS comparable illnesses. studying number of diversified imaging will increase the radiologists adventure and data approximately AIDS-related illnesses, and in addition aid clinicians making well timed analysis and applicable optimum therapy. It belongs within the library of every Radiologist, HIV professional and all of who care approximately Infectious illnesses.
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The diagnosis was pulmonary aspergillosis with AIDS (C3). (a) (b) (c) (d) Fig. 4 a–f: Pulmonary aspergillosis. The chest radiographs demonstrated a large nodule with blurring-edge located in the posterior basal segment of left lower lobe, accompanied with irregular thick-walled cavity in it (a–b). 2 Imaging findings (e) 39 (f) Fig. 4: (continuing) with wall-attached small nodule(c–e). Enhanced CT scan with mediastinal window demonstrated non-enhanced multiple nodular protuberances located in the inner wall of the cavity, small air-fluid interface in it and adjacent pleural thickening (f).
After 5 weeks treatment, CT scan showed the lesions were obviously worsened, and multiple high-density patchy opacities with blurring edges on the bilateral lungs and honeycomb appearances in some lesions (g–i). HRCT scan demonstrated widely tractive bronchiectasis, interlobular septal thickening and reticular funicular fibrosis in the bilateral lungs (j–l). 3 Imaging features The radiologic findings of IPA in AIDS patients are nonspecific. Multiple nodules with blurring edge in bilateral lungs can be seen in the early stage.
Saprophytism of PA, known as aspergilloma, forms when PA grows in a pre-existing pulmonary cavity, or in the pulmonary cavitary lesions. Radiologic findings show the individual size of approximately 3–4 cm in diameter and solid round dense shadows within cavitary lung lesions. Clinically, aspergiloma can be stagnant in size for many years. 2. Allergic bronchopulmonary aspergillosis (ABPA), known as a kind of hypersensitive reaction, occurs when bronchi become colonized with Aspergillus. Wandering pulmonary infiltrations and central bronchiectasis on radiographic imaging are considered specific in PA.
Atlas of AIDS Co-infection by Jinxin Liu, Tang Xiaoping