Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, 110029, India.
Indian J Pediatr. 2019 May;86(5):448-458. doi: 10.1007/s12098-018-02847-7. Epub 2019 Feb 14.
Chest is the commonest site of involvement by tuberculosis (TB) in children; lungs being the most frequently affected region, followed by nodes, pleura and chest wall. It is difficult to diagnose TB in children due to lack of overt symptoms and difficulty in obtaining samples for microbiological confirmation. Hence various imaging modalities play an important role in diagnostic algorithm as well as in follow-up after treatment. Standardization of chest radiograph reporting in context of clinically suspected TB is the need of the hour so as to suggest a proper diagnosis and avoid over-diagnosis. This article aims to discuss the imaging features of chest tuberculosis according to the site of involvement on various imaging modalities in the pediatric population.
胸部是儿童结核病（TB）最常见的受累部位；肺部是最常受影响的区域，其次是淋巴结、胸膜和胸壁。由于缺乏明显的症状和难以获得微生物学确认的样本，因此儿童结核病的诊断较为困难。因此，各种影像学检查在诊断算法以及治疗后的随访中都发挥着重要作用。为了提出适当的诊断并避免过度诊断，在临床疑似结核病的情况下，规范胸部 X 线摄影报告是当前的迫切需要。本文旨在讨论根据儿童各影像学检查部位的受累情况，探讨胸部结核病的影像学特征。
