University of São Paulo School of Medicine, Hospital das Clínicas, Heart Institute, Department of Pulmonology, São Paulo, Brazil.
J Bras Pneumol. 2013 May-Jun;39(3):368-72. doi: 10.1590/S1806-37132013000300015.
On HRCT scans, lung cysts are characterized by rounded areas of low attenuation in the lung parenchyma and a well-defined interface with the normal adjacent lung. The most common cystic lung diseases are lymphangioleiomyomatosis, Langerhans cell histiocytosis, and lymphocytic interstitial pneumonia. In a retrospective analysis of the HRCT findings in 50 patients diagnosed with chronic paracoccidioidomycosis, we found lung cysts in 5 cases (10%), indicating that patients with paracoccidioidomycosis can present with lung cysts on HRCT scans. Therefore, paracoccidioidomycosis should be included in the differential diagnosis of cystic lung diseases.
在高分辨率 CT 扫描中，肺囊肿的特征是肺实质中圆形的低衰减区域，与正常相邻肺组织的边界清晰。最常见的囊性肺疾病有淋巴管平滑肌瘤病、朗格汉斯细胞组织细胞增生症和淋巴细胞性间质性肺炎。在对 50 例经诊断患有慢性球孢子菌病的患者的 HRCT 结果进行回顾性分析中，我们发现 5 例（10%）存在肺囊肿，表明球孢子菌病患者的 HRCT 扫描上可能出现肺囊肿。因此，球孢子菌病应纳入囊性肺病的鉴别诊断中。
