Pulmonary cryptococcosis in immunocompetent patients: HRCT characteristics.
We analyzed the high-resolution CT (HRCT) findings of cryptococcosis in immunocompetent patients. The predominant manifestations were multiple nodules (n=6) and a single nodule (n=7). Regarding the pattern of multiple nodules, two cases of cavities or necrosis, four cases of surrounding centrilobular micronodules and five cases of "acinar" nodules were seen. No "tree-in-bud" appearance was detected. Five of seven cases of a single nodule were classified as polygonal, and two of them were round. Two cases accompanied micronodules and one case cavitation. Although no "tree-in-bud" appearance was observed, pulmonary cryptococcosis mimics tuberculosis.
Murayama
Sadayuki
S
Department of Radiology, School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara-cho, Okinawa, 903-0215 Japan. sadayuki@med.u0ryuku.ac.jp
Sakai
Shuji
S
Soeda
Hiroyasu
H
Yabuuchi
Hidetake
H
Masuda
Kouji
K
Inoue
Hiromasa
H
Watanabe
Hideyuki
H
Matsuo
Yoshitomo
Y
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003453:Cryptococcosis / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D007121:Immunocompetence; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D003074:Solitary Pulmonary Nodule / Q000382:microbiology; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging