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김건일,이기남,Kim, Geon-Il,Lee, Gi-Nam 대한영상의학회 2003 대한영상의학회지 Vol.49 No.6
목적:수두대상포진 폐렴의 고해상 CT(HRCT)소견을 알아보고자 하였다. 대상과 방법:수두대상포진 폐렴으로 임상적 및 혈청학적으로 진단된 환자 중 HRCT를 얻은 성인 7명을 대상으로 하였다.1명은 신장이식을 받은 환자였고,나머지 6명은 정상 면역력을 가지고 있었다.HRCT에서 결절,폐경화,간유리 음영,흉막삼출 등의 유무를 관찰하였고,결절은 그 수와 크기,그리고 분포양상을 2명의 진단방사선과 의사가 후향적으로 조사하였다. 결과:수두대상포진 폐렴의 HRCT에서 결절 (n=7),폐경화 (n=3),미만성 간유리음영(n=1),흉 막삼출 (n=1)이 관찰되었다.결절은 2-10 mm 크기의 다발성 (n=6)이였고,전 폐야에 고르게 분포하는 경향을 보였다.미만성 간유리 음영과 소량의 양측성 흉막삼출을 보인 1예는 급성호흡곤란증후군이 수두대상포진 폐렴에 병발한 경우였다. 결론:수두를 앓고 있는 성인에서 2-10 mm 크기의 다발성 결절,주위에 간유리 음영을 동반한 결절,결절의 융합,폐경화 등이 HRCT에서 보일 때 수두대상포진 폐렴을 감별진단에 포함시켜야 할 것이다. Purpose: To describe the high-resolution CT findings of varicella-zoster pneumonia. Materials and Methods: Seven adult patients with clinically and serologically diagnosed varicella-zoster pneumonia underwent HRCT scanning. One had undergone a kidney transplant, and the others were immunocompetent. The HRCT findings were retrospectively analyzed by two radiologists in terms of the presence of a nodule, pneumonic consolidation, ground-glass attenuation and pleural effusion, and with regard to the number, size and distribution of nodules. Results: HRCT findings of varicella pneumonia included nodule (n=7), consolidation (n=3), diffuse groundglass attenuation (n=1) and pleural effusion (n=1). Nodules were mostly 2-10 mm in size, and multiple (n=6), and zonal predominancy was not apparent. One case in which HRCT demonstrated diffuse groundglass opacity and slight bilateral pleural effusion involved a patient in whom complications of acute respiratory distress syndrome occured. Conclusion: When HRCT demonstrates the presence of nodules 2-10 mm in size multiple nodules, or nodule surrounded by ground-glass attenuation, or the coalescence of nodules and consolidation is observed in adults with chickenpox, the varicella-zoster pneumonia should be included in the differential diagnosis
요추간판수핵탄출증에 의한 신경근압박의 평가에 있어서 전산화단층촬영술의 가치: 척추강조영술과의 비교
김건일 대한영상의학회 1988 대한영상의학회지 Vol.24 No.2
High resolution computed tomography is the most accurate diagnostic tool to define a lumbar herniated disc disease because it provides a complete in vivo analysis of bony framework of lumbar spine as well as the supporting soft tissue structures and neural elements. The purpose of this study is to estimate the valve of CT in the evaluation of nerve root compression caused by herniated disc disease. We alalyzed 52 roots of 26 patients of single level herniated disc disease with definite evidence of bilateral or unilateral neurologic deficit who had both CT and myelography at Pusan National University Hospital from May 1983 to March 1987. The results were as follows: sensitivity and specificity of CT is 77% and 81% respectively in the diagnosis of nerve root compression caused by lumbar herniated disc disease. sensitivity and specificity of myelography is 77% and 81% respectively in the diagnosis of nerve root compres-sion caused by lumbar herniated disc disease. The results of this study indicate that high resoluation CT was equivalent to myelography in the diagnosis of nerve root compression caused by lumar herniated disc disease.