Word search

Displaying 181 - 195 of 2507
Drupal spam blocked by CleanTalk.
Title Legend Grouping
Plugging of airways with mucus E. 6 months later- yellow secretions cleared after suction
Plugging of airways with mucus E. 6 months later- yellow secretions cleared after suction

Initially it was incorrectly diagnosed as a bronchial carcinoma.
The material was allergic mucin with mucus and cellular debris arranged in a layered pattern. Cellular debris was almost entirely eosinophils with scattered Charcot-Leyden crystals. A Grocott stain showed multiple branching fungal hyphae, consistent with Aspergillus spp. Subsequently her total IgE rose to  750 KIU/L and Aspergillus specific RAST to 14.9 KUa/L.

Plugging of airways with mucus D. 6 months later, tenacious yellow secretions in L basal bronchial division
Plugging of airways with mucus D. 6 months later, tenacious yellow secretions in L basal bronchial division

Initially it was incorrectly diagnosed as a bronchial carcinoma.
The material was allergic mucin with mucus and cellular debris arranged in a layered pattern. Cellular debris was almost entirely eosinophils with scattered Charcot-Leyden crystals. A Grocott stain showed multiple branching fungal hyphae, consistent with Aspergillus spp. Subsequently her total IgE rose to  750 KIU/L and Aspergillus specific RAST to 14.9 KUa/L.

Clone of Plugging of airways with mucus C. After suction the material was seen to extend distally - obstructing the right basal stem bronchus
Clone of Plugging of airways with mucus C. After suction the material was seen to extend distally - obstructing the right basal stem bronchus

Initially it was incorrectly diagnosed as a bronchial carcinoma.
The material was allergic mucin with mucus and cellular debris arranged in a layered pattern. Cellular debris was almost entirely eosinophils with scattered Charcot-Leyden crystals. A Grocott stain showed multiple branching fungal hyphae, consistent with Aspergillus spp. Subsequently her total IgE rose to  750 KIU/L and Aspergillus specific RAST to 14.9 KUa/L.

Plugging of airways with mucus B. After suction the material was seen to extend distally - obstructing the right basal stem bronchus
Plugging of airways with mucus B. After suction the material was seen to extend distally - obstructing the right basal stem bronchus

Initially it was incorrectly diagnosed as a bronchial carcinoma.
The material was allergic mucin with mucus and cellular debris arranged in a layered pattern. Cellular debris was almost entirely eosinophils with scattered Charcot-Leyden crystals. A Grocott stain showed multiple branching fungal hyphae, consistent with Aspergillus spp. Subsequently her total IgE rose to  750 KIU/L and Aspergillus specific RAST to 14.9 KUa/L.

Plugging of airways with mucus A. Necrotic mass prolapsing in and out of the distal right intermediate bronchus obscuring both the basal stem and basal division
Plugging of airways with mucus A. Necrotic mass prolapsing in and out of the distal right intermediate bronchus obscuring both the basal stem and basal division

Initially it was incorrectly diagnosed as a bronchial carcinoma.
The material was allergic mucin with mucus and cellular debris arranged in a layered pattern. Cellular debris was almost entirely eosinophils with scattered Charcot-Leyden crystals. A Grocott stain showed multiple branching fungal hyphae, consistent with Aspergillus spp. Subsequently her total IgE rose to  750 KIU/L and Aspergillus specific RAST to 14.9 KUa/L.

Mucoid impaction of bronchi in patient with ABPA - from lung resection
Patient CF 30 yrs with cystic fibrosis developed ABPA. Image A. 31/3/99 FEV1= 3.00, ABPA RAST =31, IgE = 1900.  No Rx , Image B. 29/9/99 FEV1 = 1.6. IgE=3000 RAST=52.5. Rx  atypical pneumonia (FEV1=3.3 post antibiotics) , Image C. 08/08/00 FEV1= 3.2.IgE= 300 RAST= 12 No Rx , Image D.19/03/02 FEV1=3.4.IgE=2220 RAST=36 Rx antibiotics , Image E. 28/05/02 Failed to attend for 18 months. Diagnosed ABPA.RAST 52. Short course pred. FEV1=5.1 , Image F. 10/01/05 FEV1=2.6.RAST=30.Rx Prednisolone- 2 weeks  and long term itraconazole , Image G. 07/02/05 FEV1=2.8 on Itraconazole.
Aspergilloma in 20yr old cystic fibrosis patient with ABPA and diabetes mellitus. History : A 20 yr old female with cystic fibrosis complicated by CF-related Diabetes mellitus (diagnosed at age 12 years) & ABPA (diagnosed at 15 years ). She was fairly stable until last 9 months, when she started to experience  read more... Fig 1 CT scan shows cystic bronchiectasis but a classic aspergilloma with halo sign is seen in left lower lobe, Fig 2 CT - Lateral view showing aspergilloma - left lower lobe. , Fig 3 Chest X ray showing bilateral basal bronchiectasis with no definite aspergilloma., Fig 4 Aspergilloma seen on bronchoscopy.
Fig 1 CT scan shows cystic bronchiectasis but a classic aspergilloma with halo sign is seen in left lower lobe, Fig 2 CT - Lateral view showing aspergilloma - left lower lobe. , Fig 3 Chest X ray showing bilateral basal bronchiectasis with no definite aspergilloma., Fig 4 Aspergilloma seen on bronchoscopy. Aspergilloma in 20yr old cystic fibrosis patient with ABPA and diabetes mellitus. History : A 20 yr old female with cystic fibrosis complicated by CF-related Diabetes mellitus (diagnosed at age 12 years) & ABPA (diagnosed at 15 years ). She was fairly stable until last 9 months, when she started to experience  read more...
Bronchial oedema
Bronchial oedema

Remarkably oedematous bronchial mucosa, as seen in ABPA.

Patient PH ABPA and subacute invasive pulmonary aspergillosis Widespread mucoid impaction also seen, particularly in left side, suggestive of allergic bronchopulmonary aspergillosis. HR CT chest (January 2008) showing thick walled, multiloculated cavity and dilated bronchial cavities in the right upper lobe associated with cystic and varicose bronchiectasis.
HR CT chest (January 2008) showing thick walled, multiloculated cavity and dilated bronchial cavities in the right upper lobe associated with cystic and varicose bronchiectasis. Patient PH ABPA and subacute invasive pulmonary aspergillosis Widespread mucoid impaction also seen, particularly in left side, suggestive of allergic bronchopulmonary aspergillosis.
Chronic invasive sinus aspergillosis caused by Aspergillus terreus Microscopy of fungal hyphae isolated from fungal culture (lactophenol blue) Chronic invasive sinus aspergillosis caused by Aspergillus terreus
Chronic invasive sinus aspergillosis caused by Aspergillus terreus Chronic invasive sinus aspergillosis caused by Aspergillus terreus Microscopy of fungal hyphae isolated from fungal culture (lactophenol blue)
Chronic invasive sinus aspergillosis caused by Aspergillus terreus A CT scan performed at this time showed an enhancing lesion with ill defined margins involving the pterigopalatine fossa, the maxillary antrum , orbital apex and middle cranial fossa. There was also destruction of boney architecture locally. Chronic invasive sinus aspergillosis caused by Aspergillus terreus
Chronic invasive sinus aspergillosis caused by Aspergillus terreus Chronic invasive sinus aspergillosis caused by Aspergillus terreus A CT scan performed at this time showed an enhancing lesion with ill defined margins involving the pterigopalatine fossa, the maxillary antrum , orbital apex and middle cranial fossa. There was also destruction of boney architecture locally.
Mucoid impaction due to ABPA - Pt DL. The patient underwent a pneumonectomy because of the severity of her disease process, and uncertainty about the diagnosis, prior to serology results being obtained.Serology showed an IgE of 2600, with a strongly positive Aspergillus RAST test and read more... Image A. Her chest x-ray (Oct 04) shows consolidation of her left lower lobe with slight mediastinal shift, but some diaphragmatic elevation., Image B. Progression of the process was documented in Dec (04) by chest x-ray, and bronchoscopy had not identified a malignant lesion. , Image C. CT scan of the chest (Oct 04) shows extensive collapse of the left lung with only slight aeration of the left upper lobe. No definite central mass can be identified and no lymphadenopathy was visible. There is a small left sided pleural effusion. The right lung is normal. “The overall appearances remain highly suspicious of a central broncho-occlusive lesion on the left side., Image D. CT scan of the chest (Oct 04) shows extensive collapse of the left lung with only slight aeration of the left upper lobe. No definite central mass can be identified and no lymphadenopathy was visible. There is a small left sided pleural effusion. The right lung is normal. “The overall appearances remain highly suspicious of a central broncho-occlusive lesion on the left side., Image E. Cut surface of lung, following pneumonectomy, showing massive mucous impaction of the major airways and almost complete distal consolidation., Image F. Mucous containing Charcot-Leyden crystals, stained with H & E, Image G. Sheets of eosinophils , Image H. Bronchial mucosa under H & E stain showing numerous eosinophils deep to the mucosa, and mucus in the lumen of the bronchiole., Image I. Grocott (silver) stain showing branching septate hyphae fairly typical of Aspergillus in mucus. The apparent right angle branching is unusual (Low power mag.)., Image J. Grocott (silver) stain showing branching septate hyphae fairly typical of Aspergillus in mucus. The apparent right angle branching is unusual (High power mag.)..
Image A. Her chest x-ray (Oct 04) shows consolidation of her left lower lobe with slight mediastinal shift, but some diaphragmatic elevation., Image B. Progression of the process was documented in Dec (04) by chest x-ray, and bronchoscopy had not identified a malignant lesion. , Image C. CT scan of the chest (Oct 04) shows extensive collapse of the left lung with only slight aeration of the left upper lobe. No definite central mass can be identified and no lymphadenopathy was visible. There is a small left sided pleural effusion. The right lung is normal. “The overall appearances remain highly suspicious of a central broncho-occlusive lesion on the left side., Image D. CT scan of the chest (Oct 04) shows extensive collapse of the left lung with only slight aeration of the left upper lobe. No definite central mass can be identified and no lymphadenopathy was visible. There is a small left sided pleural effusion. The right lung is normal. “The overall appearances remain highly suspicious of a central broncho-occlusive lesion on the left side., Image E. Cut surface of lung, following pneumonectomy, showing massive mucous impaction of the major airways and almost complete distal consolidation., Image F. Mucous containing Charcot-Leyden crystals, stained with H & E, Image G. Sheets of eosinophils , Image H. Bronchial mucosa under H & E stain showing numerous eosinophils deep to the mucosa, and mucus in the lumen of the bronchiole., Image I. Grocott (silver) stain showing branching septate hyphae fairly typical of Aspergillus in mucus. The apparent right angle branching is unusual (Low power mag.)., Image J. Grocott (silver) stain showing branching septate hyphae fairly typical of Aspergillus in mucus. The apparent right angle branching is unusual (High power mag.).. Mucoid impaction due to ABPA - Pt DL. The patient underwent a pneumonectomy because of the severity of her disease process, and uncertainty about the diagnosis, prior to serology results being obtained.Serology showed an IgE of 2600, with a strongly positive Aspergillus RAST test and read more...
Immune reconstitution syndrome (mucous impaction or obstructing bronchial aspergillosis) complicating pulmonary aspergillosis in AIDS. Chest X ray (+87 days) Chest X ray (+87 days)
Chest X ray (+87 days) Immune reconstitution syndrome (mucous impaction or obstructing bronchial aspergillosis) complicating pulmonary aspergillosis in AIDS. Chest X ray (+87 days)

Chest x-rays: Patient 58 years old with AIDS

This case was published in Eur J Clin Microbiol Infect Dis. 2005 Sep;24(9):628-33. 
(Invasive pulmonary aspergillosis transformed into fatal mucous impaction by immune reconstitution in an AIDS patient. By Samabatakou H; Denning D). PubMed Link.

Immune reconstitution syndrome (mucous impaction or obstructing bronchial aspergillosis) complicating pulmonary aspergillosis in AIDS. Chest X ray (+64 days) Chest X ray (+64 days)
Chest X ray (+64 days) Immune reconstitution syndrome (mucous impaction or obstructing bronchial aspergillosis) complicating pulmonary aspergillosis in AIDS. Chest X ray (+64 days)

Chest x-rays: Patient 58 years old with AIDS

This case was published in Eur J Clin Microbiol Infect Dis. 2005 Sep;24(9):628-33. 
(Invasive pulmonary aspergillosis transformed into fatal mucous impaction by immune reconstitution in an AIDS patient. By Samabatakou H; Denning D). PubMed Link.

Pages