Christoph Lange Imaging diagnosis of tuberculosis.

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Presentation transcript:

Christoph Lange Imaging diagnosis of tuberculosis

imaging differential diagnosis diffuse infiltrates hilar enlargement pleural effusion cavitations nodular opacities focal infiltrates ? ? ? ? ? ?

imaging differential diagnosis diffuse infiltrates PCP, TB, histo., crypto., coccidio, toxo, CMV, other viral, (bacteria), parasites alveolar proteinosis sarkoidosis hypers. pneumonitis DD

imaging differential diagnosis focal infiltrates bact./fung. pneumonia, TB, B/C, (PCP), (KS) COP/BOOP eos. pneumonia carcinoma DD

imaging differential diagnosis hilar enlargement TB, NTM, KS DD PAH cardiac decomp. sarkoidosis

imaging differential diagnosis nodular opacities TB, NTM, KS, PCP, aspergillus, crypto., coccidio, DD metastasis toxic alveolitis Wegener disease

imaging differential diagnosis pleural effusion TB, KS, B/C, NHL, bact./fung. pneumonias, DD malignancy cardiac decomp. pulmonary embolus

58 y.o. male, 2 mo. cough, weight loss

squamous cell carcinoma

Wegener´s disease

26 y.o. female, IVD, inguinal LN-swelling

septic emboli

38 y.o.. male, alcoholic, foetor ex ore

lunge abscess

acid fast bacilli in sputum

M. abscessus M. avium- complex M. celatum M. tuberculosis M. malmoense M. kansasii

hypers. pneumonitis ABPA bronchoc. granulomatosis aspergilloma chron- necrot. aspergillosis angioinvasive aspergillosis aspergillus sepsis allergyinfection

42 y.o. male, accidental finding

echinococcus granulosus

64 y.o. male, 14 d fever, cough

infected lung cyst

UIPcystic bronchiectasis histiozytosis Xlymphangioleiomyomatosis

43 y.o. female, cough, malaise and dyspnea

cavitary sarcoidosis

C A V I T I E S Carcinoma Autoimmune disease Vascular Infection Trauma Idiopathic Etc. Sarcoidosis

Research Center Borstel Germany May 27 th -29 th 2010