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Concealed pulmonary abscess: diagnosis by computed tomography
Abstract:
During childhood, an acute pneumonia with bulging margins usually reflects an abundant production of exudate. However, an unexplained persistence of an expansile pneumonia following therapy indicates that the infectious process may be isolating itself by forming an abscess. Previous reports emphasize that such abscesses are rarely diagnosed prior to thoracotomy or autopsy. Computed tomography facilitates an earlier disclosure of an abscess or empyema that is producing a persistent but unexplained expanding opacification on plain film.
Insights
Childhood pneumonia with persistent opacification may indicate an abscess. Computed tomography aids in early diagnosis of lung abscesses or empyema, which are often missed before surgery.
Area of Science:
- Pediatric Pulmonology
- Diagnostic Imaging
- Infectious Diseases
Background:
- Acute pneumonia in children often presents with bulging margins due to exudate.
- Persistent, unexplained pneumonia after treatment suggests potential abscess formation.
- Traditional diagnosis of such abscesses typically occurs late, via thoracotomy or autopsy.