Reversed halo sign in invasive pulmonary fungal infections

Hisham Wahba1, Mylene T Truong, Xiudong Lei

  • 1Department of Diagnostic Radiology, University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA.

Insights

The reversed halo sign on CT scans can indicate early pulmonary mold infections, particularly zygomycosis. This finding appears in about 4% of patients with these fungal lung infections.

Area of Science:

  • Radiology
  • Pulmonology
  • Infectious Diseases

Background:

  • Pulmonary mold infections are serious fungal lung infections.
  • Early detection of fungal lung infections is crucial for patient outcomes.
  • The reversed halo sign is a specific finding on computed tomography (CT) scans.

Purpose of the Study:

  • To investigate the prevalence and significance of the reversed halo sign in pulmonary mold infections.
  • To determine if the reversed halo sign is an early indicator of fungal lung disease.

Main Methods:

  • Retrospective review of computed tomography (CT) scans.
  • Inclusion of patients with documented pulmonary mold infections.
  • Analysis for the presence of the reversed halo sign (ground-glass attenuation surrounded by a solid ring).

Main Results:

  • The reversed halo sign was identified in approximately 4% of patients with pulmonary mold infections.
  • This sign was often associated with zygomycosis, a type of fungal infection.
  • The reversed halo sign was observed as an early finding in the disease progression.

Conclusions:

  • The reversed halo sign is an uncommon but potentially important early CT finding in pulmonary mold infections.
  • Its presence may suggest zygomycosis and warrants further investigation.
  • This radiological sign can aid in the early diagnosis of specific fungal lung infections.