Radiographic diagnosis of traumatic bronchial rupture / 南方医科大学学报

<p><b>OBJECTIVE</b>To study the X-ray and CT findings of traumatic bronchial rupture for early radiographic diagnosis and treatment.</p><p><b>METHODS</b>The chest plain X-ray films and CT images of 21 patients with traumatic bronchial rupture confirmed by operations or bronchoscopy were retrospectively analyzed.</p><p><b>RESULTS</b>The main radiographic findings of traumatic bronchial rupture included interrupted tracheobronchial air column, atelectasis, lung ptosis, pneumomediastinum and subcutaneous emphysema, pneumothorax or hydropneumothorax. CT scanning also revealed tracheobronchial wall defect, bronchostenosis, and bronchial occlusion, displacement and angulation.</p><p><b>CONCLUSION</b>Chest plain X-ray film combined with CT scanning has important values for early diagnosis of traumatic bronchial rupture.</p>

Dynamic contrast-enhanced CT patterns and pathologies of noncalcified pulmonary tuberculomas / 南方医科大学学报

<p><b>OBJECTIVE</b>To analyze characteristic CT enhancement patterns of noncalcified pulmonary tuberculomas and their pathological basis.</p><p><b>METHOD</b>Fifty-six patients with noncalcified pulmonary tuberculomas underwent surgical resection of the tuberculomas. Enhanced CT images of these tuberculomas were reviewed and analyzed in relation to the histological findings.</p><p><b>RESULTS</b>Of the 56 patients, 45 showed no enhancement in the tuberculomas, which were histologically characterized by central caseous necrosis and a poorly vascularized peripheral fibrotic zone. Eleven patients showed ring-like or eggshell enhancement, and the central low density region was histologically confirmed to be caused by caseous or liquefied necrosis, while the ring enhancement resulted pathologically from moderately or well vascularized peripheral fibrotic or granulomatous tissues.</p><p><b>CONCLUSIONS</b>Pulmonary tuberculomas consists mainly of caseous necrotic tissues characterized by no enhancement and ring or eggshell enhancement on dynamic contrast-enhanced CT.</p>