Keywords : CT scan
Iraqi Postgraduate Medical Journal,
2018, Volume 17, Issue 3, Pages 249-254
The term cavity is a gas-filled space that appears on imaging as an area of low attenuation surrounded by a variously thickened wall within a pulmonary consolidation, mass, or nodule. Multidetector computed tomography (CT) of the chest is the current technique of choice for evaluating lung cavities.
To assess the role of some computed tomography criteria in differentiating benign from malignant solitary cavitary lung lesion.
PATIENT AND METHODS:
This was a cross sectional study done in the Computed Tomography unit of Al-Immamain Al-Kadhmain Medical city in Baghdad, Iraq between October, 2016 and June, 2017. All patients presented with solitary pulmonary cavitary lesions detected by chest x-ray referred for different reasons. Examination of the chest was performed by multi-detector CT (Somatom definition edge, SIEMENS medical system, Germany (256 slices)) with 2 sets of CT examination one before and another after giving IV nonionic iodinated contrast medium (Ultravist 370 mg /ml), 1.5 ml/kg Body weight. The final diagnosis was obtained depending on the sputum culture for AFB, bronchoscopy and biopsy, bronchoscopy and brush cytology and true cut biopsy.
The study included 50 patients with solitary pulmonary cavitary lesions, 54% were male and 46% were females. Final diagnosis was 80% diagnosed as benign and 20% as malignant lesions. Enhancement was significant among 20% of studied patients. The common associated CT scan features were pleural effusion (24%), consolidation (12%), consolidation and tree in Bud (10%), pleural effusion and mediastinal lymph nodes (8%), tree in bud (10%), mediastinal lymph node and consolidation (8%), ground glass opacification, honeycombing and tree in bud (6%), pleural effusion and tree in bud (4%), fibrosis (2%) and encysted hydro-pneumothorax (2%). There was a highly significant association of significant enhancement and Pleural effusion with malignant solitary cavitary lesions (p<0.001 and p=0.003). A highly significant association was observed between increased mean thickness of lesion and malignant solitary cavitary lesion (p<0.001)
The common computerized tomography characteristics of malignant solitary pulmonary cavitary lesions were significant enhancement, pleural effusion and increased diameter and thickness of pulmonary cavities.
Iraqi Postgraduate Medical Journal,
2015, Volume 14, Issue 1, Pages 151-160
Post stroke depression is a common neuropsychiatric consequence of stroke. Some studies show that left hemisphere lesions may be associated with a higher incidence of depression. Others found no significant correlation between lesion location and depressive alterations after stroke.
To determine whether post stroke depression is correlated with the site of stroke lesion and to evaluate other determinants for the development of depression post stroke.
A cross sectional study was conducted at Baghdad teaching hospital on 50 patients with single demarcated unilateral lesions was selected according to CT scan of the brain, psychiatric assessment were performed to assess the presence of depression according to DSM-IV criteria. The severity of functional impairment of all patients was performed on the modified Rankin scale (mRS).
The study showed that 54% of stroke patients were depressed and 46% of them had no depression. Patients with higher functional impairment score were more likely to have depression rather than those with lower score. No significant association had been found between depression with all other variables including site of stroke lesion.
There is no correlation between the sites of stroke lesion and post stroke depression in patients with stroke.