A difficult case of the differential diagnosis of focal infiltrative lung changes in phthisiatric practice
Errors occur rather commonly in the differential diagnosis of respiratory diseases accompanied by X-ray lung tissue changes as foci and infiltration. Infiltrative and disseminated pulmonary tuberculosis, lung cancer, and pneumonia constitute a high proportion among the detected concurrent lung disea...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Luchevaya Diagnostika, LLC
2016-03-01
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| Series: | Вестник рентгенологии и радиологии |
| Subjects: | |
| Online Access: | https://www.russianradiology.ru/jour/article/view/83 |
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| Summary: | Errors occur rather commonly in the differential diagnosis of respiratory diseases accompanied by X-ray lung tissue changes as foci and infiltration. Infiltrative and disseminated pulmonary tuberculosis, lung cancer, and pneumonia constitute a high proportion among the detected concurrent lung diseases. The rate of diagnostic discordance for these lung abnormalities accounts for more than 30%; and the diagnosis period for an infiltrative lung process lasts 2–3 weeks in 20% of cases and above 1–3 months in 80%. In particular, clinicians are faced with great difficulties in diagnosing aspiration pneumonia; this is due to that its X-ray manifestations are not purely specific and they are characterized by the parenchymal (alveolar) infiltration oflung tissue with a varying extent of lung inflammation.This paper describes a clinical case of a patient with salivary gland adenocarcinomaand focal infiltrative lung changes. Diagnostic difficulties have emerged in establishing the genesis of the changes in the lung. |
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| ISSN: | 0042-4676 2619-0478 |