J Korean Radiol Soc.  1981 Dec;17(3):453-460. 10.3348/jkrs.1981.17.3.453.

Radiographic findings in adult pulmonary tuberculosis

Abstract

During the period from March, 1980 to Feb. 1981 in the Department of Radiology, Jeonbug National University Hospital, we reviewed the radiologic findings of 879 cases newly diagnosed pulmonary tuberculosis and 56 cases diagnosed tuberculous pleural effusion without lung parenchymal lesion on initial chest P-A film in adult (olderthan 16 years). The results were as follows. 1. Sex distribution of pulmonary tuberculosis was 668 cases (76%) inmale, 211 cases (24%) in female, the average age 44.6% and the highest incidence in the third and sixth decadewith similarity. 2. The incidence of pulmonary tuberculosis was highest in the spring time (29.5%) and its peak particularly in May. 3. Classsifying the extent of pulmonary tuberculosis into minimal, moderately advanced and far advanced pulmonary tuberculosis, their ration was 6:1.5:1 with the concrete data of 553 cases (70.8%), 136 cases (17.4%) and 92 cases (11.8%) respectively. 4. In the case of minimal pulmonary tuberculosis the location of TB-lesion incidence were right upper, left upper and both upper lobes in the raio of 45:27:28(%). 5. The radiological findings of pulmonary tuberculosis appeared various, but the ill-defined patchy density of exudativereaction signifying an initial lesion were the most (35%). 6. As an unusual type of tuberculosis, cavitary TB was38 cases (4.3%), among them, in 3 cases (7.9%) there appeared air-fluid level. Milairy TB was 8 cases (0.9%),mostly abundant in the youngsters(esp. in the third decade), and female immensely out numbered male. Tuberculoma was 10 cases (1.4%), female preceded male in the ratio of 7:3, and in right upper lobe the incidence was highest(50%). 7. Without lung parenchymal lesions, the cases to have caused an tuberculous pleural effusion were 56(6.0%), and in the years of 16 to 29 it was the most frequent with 26 cases (46.4%). 8. With complicated pulmonarytuberculosis, 78 cases (9.5%) showed to combine with other diseases. Among them pleural effusion was 14 cases(1.7%) and pneumothorax 14 cases (1.7%), which were the most frequent. 9. Spread of tuberculosis beyond the lungto other organ was 28 cases (3.1%) and frequent in female characteristically. Among them, bone and joint TB was 16cases and the most abundant in number, in particular, spine TB was the most frequent with 10 cases (36%).


MeSH Terms

Adult*
Female
Humans
Incidence
Jeollabuk-do
Joints
Lung
Male
Pleural Effusion
Pneumothorax
Sex Distribution
Spine
Thorax
Tuberculoma
Tuberculosis
Tuberculosis, Pulmonary*
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