Kirby B D, Peck H, Meyer R D
Chest. 1979 Nov;76(5):562-5. doi: 10.1378/chest.76.5.562.
Serial chest radiographs of 35 patients with confirmed Legionnaires' disease were evaluated. A unilateral, unilobar alveolar infiltrate was, in general, the initial radiographic finding. Progression to consolidation or to new areas of involvement was typical. Every lobe was involved, but lower lobe involvement was most common. Pleural effusion was often present. Cavitation was not seen. Radiographic progression for several days following institution of therapy, and despite clinical response, was noted. In patients who survived, radiographic improvement of abnormalities was usually apparent within two weeks of therapy. Aradiographic spectrum exists and, although many features are typical, no single feature is pathognomonic.
对35例确诊为军团病患者的系列胸部X光片进行了评估。一般来说，最初的X光片表现为单侧、单叶肺泡浸润。典型表现为进展为实变或出现新的受累区域。每个肺叶均可受累，但下叶受累最为常见。常伴有胸腔积液。未见空洞形成。尽管临床有反应，但在开始治疗后的数天内仍可见X光片进展。存活患者在治疗后两周内X光片上的异常通常明显改善。存在X光片表现谱，虽然许多特征是典型的，但没有单一特征具有诊断特异性。
