Winer-Muram H T, Rubin S A
Department of Radiology, University of Tennessee, Memphis 38163.
J Thorac Imaging. 1992 Sep;7(4):23-8. doi: 10.1097/00005382-199209000-00005.
Pulmonary blastomycosis has a number of chest radiographic manifestations that may closely resemble those of tuberculosis, histoplasmosis, and other fungal diseases. Radiographic presentations of disease include airspace consolidation, nodular opacities, air bronchograms, masslike lesions, and military disease. Because the geographic distribution of blastomycosis overlaps that of histoplasmosis, distinguishing one from the other on the basis of the radiographic features may be difficult. In blastomycosis, the paucity of calcifications, lymphadenopathy, and cavitation is striking. The article reviews the clinical and radiologic features of blastomycosis and provides illustrative cases to enhance understanding of this disease.
肺芽生菌病有多种胸部X线表现，可能与肺结核、组织胞浆菌病及其他真菌病的表现极为相似。该病的X线表现包括肺泡实变、结节状阴影、空气支气管征、肿块样病变及粟粒型病变。由于芽生菌病的地理分布与组织胞浆菌病重叠，根据X线特征将两者区分开来可能很困难。在芽生菌病中，钙化、淋巴结病及空洞形成较少见，这一点很显著。本文回顾了芽生菌病的临床和放射学特征，并提供了实例以加深对该病的理解。
