Pulmonary Aspergillus chest wall involvement in chronic granulomatous disease: CT and MRI findings

Akira Kawashima, Janet E. Kuhlman, Elliot K. Fishman, Clare M. Tempany, Donna Magid, Howard M. Lederman, Jerry A. Winkelstein, Elias A. Zerhouni

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Pulmonary Aspergillus infection in patients with chronic granulomatous disease tends to involve the chest wall and consequently carries a high mortality rate. We report the findings of computed tomography (CT) and magnetic resonance imaging (MRI) in three such cases. One patient underwent both CT and MRI, one, CT only, and one, MRI only. In all three, both CT and MRI demonstrated pulmonary consolidations with direct extension to the adjacent chest wall. In both patients who were examined by CT, scans revealed permeative osteolytic changes of adjacent rib or spine compatible with osteomyelitis. In both patients who were examined by MRI, adjacent chest wall involvement was depicted on T1-weighted images and showed increased signal intensity on T2-weighted images. In one of these patients, the chest wall lesion was well defined on T2-weighted images, an appearance compatible with abscess. Epidural extension was demonstrated on MRI in the other patient, who later developed paraparesis. We suggest that CT and MRI have a complementary role in evaluating chest wall invasion by pulmonary Aspergillus infection in chronic granulomatous disease.

Original languageEnglish (US)
Pages (from-to)487-493
Number of pages7
JournalSkeletal Radiology
Volume20
Issue number7
DOIs
StatePublished - Oct 1 1991
Externally publishedYes

Fingerprint

Chronic Granulomatous Disease
Thoracic Wall
Aspergillus
Tomography
Magnetic Resonance Imaging
Lung
Paraparesis
Ribs
Osteomyelitis
Infection
Abscess
Spine
Mortality

Keywords

  • Chest wall invasion
  • Chronic granulomatous disease
  • Computed tomography
  • Magnetic resonance imaging
  • Pulmonary Aspergillus infection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Kawashima, A., Kuhlman, J. E., Fishman, E. K., Tempany, C. M., Magid, D., Lederman, H. M., ... Zerhouni, E. A. (1991). Pulmonary Aspergillus chest wall involvement in chronic granulomatous disease: CT and MRI findings. Skeletal Radiology, 20(7), 487-493. https://doi.org/10.1007/BF00194242

Pulmonary Aspergillus chest wall involvement in chronic granulomatous disease : CT and MRI findings. / Kawashima, Akira; Kuhlman, Janet E.; Fishman, Elliot K.; Tempany, Clare M.; Magid, Donna; Lederman, Howard M.; Winkelstein, Jerry A.; Zerhouni, Elias A.

In: Skeletal Radiology, Vol. 20, No. 7, 01.10.1991, p. 487-493.

Research output: Contribution to journalArticle

Kawashima, A, Kuhlman, JE, Fishman, EK, Tempany, CM, Magid, D, Lederman, HM, Winkelstein, JA & Zerhouni, EA 1991, 'Pulmonary Aspergillus chest wall involvement in chronic granulomatous disease: CT and MRI findings', Skeletal Radiology, vol. 20, no. 7, pp. 487-493. https://doi.org/10.1007/BF00194242
Kawashima, Akira ; Kuhlman, Janet E. ; Fishman, Elliot K. ; Tempany, Clare M. ; Magid, Donna ; Lederman, Howard M. ; Winkelstein, Jerry A. ; Zerhouni, Elias A. / Pulmonary Aspergillus chest wall involvement in chronic granulomatous disease : CT and MRI findings. In: Skeletal Radiology. 1991 ; Vol. 20, No. 7. pp. 487-493.
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