CLINICAL STUDY OF CHEST LESIONS BY MULTI DETECTOR COMPUTED TOMOGRAPHY OF THE CHEST
*Dr. Pragya Ghosh M. D.
Present study is based upon patients with chest lesions (26 with pulmonary Koch’s & 44 with other chest pathologies) including ILD, Pneumonic consolidation, CA lung, mediastinal masses, trauma, hydatid cyst, bronchogenic cyst, TPE, ARDS & cold abscess chest wall. Slight male dominance was noted. Main clinical presentation was coughing, breathlessness, sputum production, chest pain, few presented with hemoptysis & dysphagia. All lesions presented with a variety of features on computed tomography described in detail in text. HRCT / CECT of Pulmonary Koch’s revealed centrilobular nodules, “tree in bud appearance” fibrotic strands, bronchiectasis, consolidation – segmental collapse etc. ILD patients revealed architectural distortion, ground glass appearance reticular and nodular shadowing. Secondaries revealed multiple nodules of varying sizes in lung parenchyma. Literature supported our observations in majority of cases. Blood & sputum examination / histopathology / FNAC & pleural fluid cytology confirmed the diagnosis in all cases.[Full Text Article]