![]() ![]() Multifocal bilateral opacities and CXR score are strictly correlated with the severity of the illness.Ĭopyright © 2011 Sociedade Portuguesa de Pneumologia. The severity of disease as determinate by need for mechanical ventilation was greater in patients with a greater number of lobes involved and a higher CXR score.īilateral ground-glass opacities and areas of consolidation were the predominant radiological findings of influenza A (H1N1) virus pneumonia. The most outstanding CXR and chest CT features of the disease were basal and axial alveolar consolidation and ground-glass opacities. Reticular opacities were found in about 20% of the cases. Consolidation areas had a peribronchovascular and subpleural predominance and were found mainly in the middle and upper zones of the lung. The predominant radiological findings on chest CT in the patients at presentation were unilateral or bilateral multifocal ground glass opacities (84.5% of the patients). A new radiographic score (CXR score) was used to evaluate the severity of the illness. Chest CT scans were reviewed for the same findings. The initial CXR were evaluated for radiological patterns: (ground-glass, consolidation, nodules, reticulation), distribution, and extent of the disease. Of ninety-eight patients with influenza A H1N1 infections seen in the General Hospitals of Villa Scassi, Genoa, and Sestri Levante from September 2009 to December 2009, twenty-eight developed pneumonia. The fluid is then tested for bacteria.The objective of this study was to review chest radiographs (CXR) and chest computer tomography (CT) findings in patients with influenza A H1N1 virus pneumonia. A pleural fluid culture can be taken using a procedure called thoracentesis, which is when a doctor uses a needle to take a sample of fluid from the pleural space between your lungs and chest wall.A CT scan shows more detail than a chest X-ray. It can also show whether you have complications such as lung abscesses or pleural disorders. A chest computed tomography (CT) scan can show how much of your lungs are affected by pneumonia.At the same time, your doctor may also collect samples of your lung tissue and fluid from your lungs to help find the cause of your pneumonia. If your treatment is not working well, this procedure may be needed. A bronchoscopy looks inside your airways.A polymerase chain reaction (PCR) test quickly checks your blood or sputum sample to find the DNA of germs that cause pneumonia. ![]()
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