《ECCMID 曲霉菌指南简介 慢性肺曲霉菌病感染》.pptVIP

* CPA in a smoker with previous infection to Mycobacterium Kansasii, undernutrition and cirrhosis. Several episodes of severe hemoptysis treated by arterial embolization with long term treatment by Voriconazole. Axial (a,b), coronal (c,d) and sagittal (e,f) reformations in mediastinal (b,d,f) and lung windows (a,c,e). Typical bilateral fungus balls (stars) almost filling the cavities on the left side. Note small cavities within the left fungus ball and some irregular walls of the cavity on the right side. The fungus balls appear hypoattenuated compared to enhanced pleural thickening (yellow arrows) and alveolar consolidation (blue arrows) . Note hypertrophic systemic arteries (red arrows) * * CPA in a smoker with previous infection to Mycobacterium Kansasii, undernutrition and cirrhosis. Several episodes of severe hemoptysis treated by arterial embolization with long term treatment by Voriconazole. Axial (a,b), coronal (c,d) and sagittal (e,f) reformations in mediastinal (b,d,f) and lung windows (a,c,e). Typical bilateral fungus balls (stars) almost filling the cavities on the left side. Note small cavities within the left fungus ball and some irregular walls of the cavity on the right side. The fungus balls appear hypoattenuated compared to enhanced pleural thickening (yellow arrows) and alveolar consolidation (blue arrows) . Note hypertrophic systemic arteries (red arrows) * * CPA in a smoker with previous infection to Mycobacterium Kansasii, undernutrition and cirrhosis. Several episodes of severe hemoptysis treated by arterial embolization with long term treatment by Voriconazole. Axial (a,b), coronal (c,d) and sagittal (e,f) reformations in mediastinal (b,d,f) and lung windows (a,c,e). Typical bilateral fungus balls (stars) almost filling the cavities on the left side. Note small cavities within the left fungus ball and some irregular walls of the cavity on the right side. The fungus balls appear hypoattenuated compared to enhanced pleural thickening (yellow ar