Groskin S A, Panicek D M, Ewing D K, Rivera F, Math K, Teixeira J, Heitzman E R, Markarian B
Department of Radiology, SUNY Health Science Center, Syracuse 13210.
J Thorac Imaging. 1991 Jul;6(3):62-7.
The radiographic and clinical features of 50 patients with documented bacterial lung abscess are presented. Neither clinical nor radiographic features permit a specific diagnosis of lung abscess to be made; microbiologic or histopathologic material is needed to establish the diagnosis. A surprising percentage of patients (18%) had radiographically occult lung abscesses that were diagnosed only at the time of surgery or autopsy. Possible causes for and means of avoiding this diagnostic pitfall are presented.
本文介绍了50例有细菌性肺脓肿记录患者的影像学和临床特征。临床和影像学特征均无法做出肺脓肿的明确诊断；需要微生物学或组织病理学资料来确诊。有相当比例（18%）的患者存在影像学隐匿性肺脓肿，仅在手术或尸检时才得以诊断。文中阐述了出现这一诊断陷阱的可能原因及避免方法。
