opacitati micronodulare nodulare si cavitare.pdf · • noduli confluenti, bazal • "se...
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![Page 1: opacitati micronodulare NODULARE SI CAVITARE.pdf · • noduli confluenti, bazal • "se sufla" rezultand pneumatocele • participare pleurala (empiem, PNO) • uneori cavitati](https://reader034.vdocuments.pub/reader034/viewer/2022050716/5e21ab089939122325359d95/html5/thumbnails/1.jpg)
opacitati micronodulare
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TUBERCULOZA MILIARA
• bilaterala
• prinde varfuri
• monomorfa
• monotona
• "bronhopneumonie rece"
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• infiltrarea si obstructia limfaticelor pulmonare
• bilateral, simetric
• respecta varfurile
• # de meta nodulare
CARCINOMATOZA PULMONARA
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METASTAZE PULMONARE NODULARE
• opacitati micro/macro
• contur net
• bazale
• de dimens. diferite
• "lansare de baloane"
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BRONHOPNEUMONIA
• uni/bilaterala
• in focare multiple
• varste diferite
• confluente, inegale
• respecta varfurile
• contur difuz, "vatuite"
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PNEUMONIA STAFILOCOCICA
• uni/bilaterala
• noduli confluenti, bazal
• "se sufla" rezultand pneumatocele
• participare pleurala (empiem, PNO)
• uneori cavitati expansive
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HEMOSIDEROZA PULMONARA
• microopacitati bilaterale
• bazal
• respecta varfurile
• modif. silueta cardiaca (valv. mitrale)
• ocazional infiltrate difuze
• boala de baza (talasemie, valvulopatii cu HTP, idiopatic)
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• adenopatii bilaterale hilare
• campuri mijlocii
• respecta varfurile
• reticulonodulara
• fibroza in std. III
• IDR PPD negativ
SARCOIDOZA
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sarcoidoza
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SILICOZA
• opacitati micronodulare 1-10mm
• bilateral
• campuri sup., inclusiv varfuri
• in timp conflueaza, formand macronoduli
• adenopatii hilare
• +/- calcificari
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cavitatia
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ABCES PULMONAR
• imagine hidroaerica
• bronsie de drenaj ("in racheta")
• bazal & lob mediu
• sd. inflamator
• vomica, hemoptizie
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CHIST HIDATIC PULMONAR
• opacitate solitara
• "trasa cu compasul"
• fara predilectie
• "respiratia chistului"
• "semnul membranei"
• vomica hidatica (apa de stanca"
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TUBERCULOZA CAVITARA
• intotdeauna apicala
• intotdeauna leziuni de mai multe tipuri
• cavitati medii/mari, contur neregulat
• impregnare bacilara
• hemoptizie
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ASPERGILOMUL PULMONAR
• dezvoltarea miceliilor intr-o cavitate preformata (TBC, CH)
• "semiluna"
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PNEMONII NECROZANTE
• bloc de condensare
• frecvent apicale, multilobare
• zone clare in aria de condensare
• nivel hidroaeric ocazional
• participare pleurala ocazional
• soc toxic/septic
• frecvent nosocomiale (G-, staf.)
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CANCER PULMONAR NECROZAT
• pereti grosi ("in rama")
• margini dendritice
• contur intern anfractuos ("stalactite")
• persista si creste
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RESURSE BIBLIO
1. Cavitary pulmonary diseases
2. Diffuse pulmonary nodules