Normal CT scan of the chest
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1 Normal CT scan of the chest Heart with left and right ventricle showing up lighter (contrast dye) Breast tissue Breast bone (sternum) Breast tissue Left lung (dark area) Right lung (dark area) Rib Main airways (bronchi) Aorta Shoulder blade (scapula) Oesophagus (gullet) Vertebra Spinal cord Body fat under the skin
2 2 fungal balls in the lung (2 aspergillomas) Moderate cavity in the lung with a thin surrounding wall containing a large fungal ball caused by Aspergillus Large cavity in the lung with a thin surrounding wall containing a large fungal ball caused by Aspergillus
3 Allergic bronchopulmonary aspergillosis and bronchiectasis Enlarged and irregular airways in the right lung caused by long term Aspergillus allergy and repeated infection (bronchiectasis)
4 Invasive fungal infection of the lung caused by Aspergillus Nodular mass in the left lung which had a needle placed in it to remove tissue and Penicillium was grown Large area of pneumonia caused by Aspergillus in a 14 year old boy with a T cell lymphoma receiving chemotherapy and low white blood cells. He first noticed this when he developed sudden onset of severe chest pain. His phlegm sputum grew Aspergillus. Later he developed a thyroid swelling and a needle aspiration grew Aspergillus as well, indicating dissemination of invasive aspergillosis. He then underwent a right lower lobe removal which confirmed the diagnosis of invasive pulmonary aspergillosis.
5 Invasive fungal infection of the lung caused by Penicillium Nodular mass in the left lung which had a needle placed in it to remove tissue and Penicillium was grown This disease occurred in a 22 year old lad with an inherited immune deficiency in which his white cells were poor at killing bacteria and fungi (Chronic Granulomatous Disease). He had previously suffered from an Aspergillus infection of his left lung and both feet, and had been taking oral antifungals for 4 years when this Penicillium infection occurred.
6 Invasive fungal infection of the lung caused by Fusarium Nodular mass in the left lung which is typical of a fungal infection. This patients blood culture grew Fusarium and he had toenail infection caused by the same infection. Fusarium under the microscope Fungal infection of the toenails is usually not problematic but when it occurs in leukaemia, as in this man, it can spread through the bloodstream to the skin and lungs.
7 Normal paranasal sinuses Eyeball Nasal septum Nose Eyeball Optic nerve Optic nerve In each person there are maxillary, ethmoid, sphenoid and frontal sinuses Ethmoid sinuses
8 Allergic Aspergillus sinusitis Clear ethmoid sinus Ethmoid sinuses completely full of allergic mucin caused by Aspergillus Sphenoid sinus with good drainage into the ethmoid sinuses
9 Allergic Aspergillus sinusitis Maxillary sinus containing some allergic mucin Maxillary sinus almost clear of allergic mucin Ethmoid sinuses on both sides completely full of allergic mucin caused by Aspergillus
10 Aspergillus abscess in the brain Large abscess in the right parietal area of the brain, with much surrounding swelling of the brain Cerebrospinal fluid (CSF) in the posterior right horns of the ventricular system Cerebrospinal fluid (CSF) in the anterior horns of the ventricular system with an image density similar to water. Small abscess in the left occipital lobe, obliterating the posterior horn of the ventricular system, with much surrounding swelling of the brain
11 Aspergillus abscess in the brain Abscess surrounded by a wall of inflammation, itself surrounded by brain swelling A 44 year old woman developed confusion while in hospital and an MRI scan showed this abscess. She was operated on and the abscess drained. The fluid grew Aspergillus.
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