The most frequent complication of lung abscess
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.
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