The Value of CT-Guided Percutaneous Needle Aspiration in Immunocompromised Patients with Suspected Pulmonary Infection
Sung Su Hwang1,
Hak Hee Kim2,
Seog Hee Park2,
Jung Im Jung3 and
Hye Suk Jang2
1
Department of Radiology, St. Vincent's Hospital, The Catholic University of
Korea, 93 Chi-dong, Paldal-ku, Suwon, Kyunggi-do, 442-723, Korea.
2
Department of Radiology, Kangnam St. Mary's Hospital, The Catholic University
of Korea, 505 Banpo-dong, Seocho-ku, Seoul, 137-040, Korea.
3
Department of Radiology, St. Mary's Hospital, The Catholic University of
Korea, #62, Youido-dong, Yongdungpo-gu, Seoul, 150-019, Korea.

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Fig. 1. 33-year-old man with acute lymphocytic leukemia. Contrast-enhanced
CT scan of chest shows well-defined thick-walled cavitary lesion filled with
low-density slough in superior segment of left lower lobe. Note adjacent
pleural thickening. CT-guided percutaneous needle aspiration (not shown)
revealed Aspergillus fumigatus.
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Fig. 2A. 18-year-old woman with acute myelocytic leukemia. Posteroanterior
chest radiograph shows homogeneous lobar consolidation in right upper lobe.
Note central venous catheter. Aspirate obtained with CT-guided percutaneous
needle aspiration (not shown) revealed nonspecific inflammatory cells on
cytologic examination and no growth of pathogen in culture.
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Fig. 2B. 18-year-old woman with acute myelocytic leukemia. Follow-up chest
radiograph obtained 10 days after A reveals partial resolution of
pneumonic consolidation. Note round low-density cavitary lesion in right upper
lobe. Patient underwent empiric therapy.
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Fig. 2C. 18-year-old woman with acute myelocytic leukemia. Follow-up chest
radiograph obtained 18 days after B shows remaining thin-walled
cavitary lesion (arrows) in right upper lobe, despite near-complete
resolution of pneumonic consolidation.
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Copyright © 2000 by the American Roentgen Ray Society.