The More You See, the More Confusion: Two Cases of Pneumonia With Confusing Imaging Findings of Adenocarcinoma.
| Autor: | Valdes Bracamontes MD; Pulmonary and Critical Care, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, USA., Dubey GR; Pulmonary and Critical Care Medicine, Veterans Affairs New York (VA NY) Harbor Healthcare System, Brooklyn, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Aug 24; Vol. 16 (8), pp. e67671. Date of Electronic Publication: 2024 Aug 24 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.67671 |
| Abstrakt: | Imaging studies are a helpful tool when facing pulmonary pathology. While a specific radiologic pattern suggests a diagnosis, a multidisciplinary approach is ideal. Pneumonia and lung adenocarcinoma (LADC) are among the leading causes of morbidity and mortality worldwide. LADC has many patterns on computed tomography (CT); when it manifests as parenchymal consolidation, it is often difficult to distinguish from pneumonia, leading to a delayed or erroneous diagnosis. To achieve a definite diagnosis, clinical information, imaging, and laboratory findings are required. We present two cases that illustrate the importance of applying image interpretation to clinical context. In the first case CT was suspicious for pulmonary malignancy, after a failed response to antibiotics, subsequent invasive interventions led to infection dissemination and complicated clinical course. In the second case, CT showed similar imaging findings to those observed in case one. In case two, however, a conservative approach led to optimal outcomes and improved quality of care. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Valdes Bracamontes et al.) |
| Databáze: | MEDLINE |
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