Retrospective high-resolution CT analysis of allergic bronchopulmonary aspergillosis / 中国医师进修杂志

ABSTRACT

Objective To investigate the high-resolution CT (HRCT) imaging characteristics of allergic bronchopulmonary aspergillosis (ABPA) to improve the diagnostic accuracy.Methods The clinical data of 21 patients with ABPA diagnosed in Dalian Second People's Hospital and Nanjing Lishui District Hospital of Traditional Chinese Medicine from January 2010 to June 2018 were retrospectively analyzed,and their clinical manifestations and HRCT examinations were statistically analyzed to summarize the HRCT imaging manifestations.Results Among the 21 patients,cough,expectoration and wheezing were the main clinical symptoms,followed by fever and hemoptysis;5 patients had a history of drug or food allergy.ABPA showed 18 cases of central bronchiectasis on HRCT,including 10 cases of simple bronchiectasis,9 cases with low-attenuation mucus,and 6 cases with high-attenuation mucus;patchy consolidation infiltration were seen in 11 cases;masses were seen in 2 cases;central nodules and tree buds were seen in 3 cases;mediastinal lymph nodes were enlarged in 6 cases.Conclusions HRCT imaging of ABPA is difficult to diagnose,and central bronchiectasis with high-attenuation mucus is characteristic.It can be used as a reliable basis for the diagnosis of ABPA imaging.Combined with clinical and laboratory examinations,it can generally be diagnosed clearly.