J Korean Radiol Soc.
1995 Jan;32(1):77-83.
Serial CT Findings of Bronchial Lesions in Patients with Endobronchial Tuberculosis during or After Medical Treatment
Abstract
- PURPOSE
The purpose of this study wass to evaluate the bronchial change of the endobronchial tuberculosis
on CT scan during and after medical treatment to guide.
MATERIALS AND METHODS
We prospectively analyzed the bronchial changes on CT scans of 14
endobronchial tuberculous lesions in 11 patients. The diagnosis of the endobronchial tuberculosis was obtained by
bronchoscopic biopy, washing cytology. The mean period of treatment before follow-up CT scan is 5.2 months
(2-12 months).
RESULTS
Improving process of the endobronchial lesions were observed in 1 smooth tapered obstruction and
1 irregular narrowing. Normalization of the CT findings after or during the medical treatment were seen in 4
smooth narrowing, 1 irregular narrowing, 1 tapered obstruction, 1 V-shaped obstruction, 1 abrupt amputation,
and 3 focal nodular narrowings. Little interval changes was observed in only 1 case of the V-shaped obstruction.
CONCLUSION
The patency of most of the narrowed or obstructed bronchus were improved during or after
medical treatment, except in one case of V-shaped obstruction.