The most frequent complication of lung abscess


Macroscopic basis of an early stage was a large cavity of destruction with insufficient spontaneous draining, indistinctly separated from surrounding lung tissue and filled with purulent exudate and sequesters. On Metapathia hunter image it was comparable with a large abscess of heterogeneous structure due to diffuse distribution of lesser achromogenic air signals against the background of prevailing moderately chromogenic content with coarse suspended matter and possible hypochromogenic sequesters. Irregular shape and uneven contours of a nidus, indistinct in spots inflammatory infiltration of surrounding lung were typical. Destruction cavity is limited by pulmobary tissue without chromogenic walls.
The most frequent complication of lung abscess was formation of bronchopleural fistula with development of empyema and pyopneumothorax, in certain cases accompanied by thoracic wall phlegmon and thoracal fistula. In one patient, who failed to find medical attention in time to treat an abscess of medium lobe of a right lung, we detected gigantic subdiaphragmatic abscess that developed as a result of cupula of diaphragm destruction with a background of pleural empyema.

The most favorable outcome of lung abscess is a complete collapse of a cavity with development of nidal fibrosis. As a stage of cicatrizing cavity an abscess looked like a small (less than 4 cm) parietal nidus with typical irregular or star-like shape, uneven serrate contour and heterogeneous structure because of short achromogenic air signals with prevailing hyperchromogenic background. At complete cicatrization of a cavity on its place we detected remaining small subpleural hypochromogenic area of irregular-shaped sclerosis, with uneven contours and significantly decreased or absent respiratory mobility. Less favorable outcome is formation of residual achromogenic air cavity similar to false cyst.

http://www.metapathia-hunter.com

评论

此博客中的热门博文

Bioplasm machine-research of urinary bladder

Three-dimensional Metatron hunter-graphy was carried with Metatron-4025 (IPP, Russia) system

Possibilities of non-linear method in diagnostics of adrenals tumors