Non-tuberculous mycobacterial lung disease: a brief review focusing on radiological findings.
Laura Raniere Borges Dos AnjosPoliana Lopes ParreiraPedro Paulo Teixeira Silva TorresAndré KipnisAna Paula Junqueira-KipnisMarcelo Fouad RabahiPublished in: Revista da Sociedade Brasileira de Medicina Tropical (2020)
The incidence and prevalence of lung disease caused by non-tuberculous mycobacteria (NTM-LD) has increased worldwide and its diagnosis represents a complex challenge. This article aims to review the tomographic findings of NTM-LD in order to facilitate their definitive diagnosis. The search for publications on the subject was performed in PMC and Scielo using the keywords 'non-tuberculous mycobacteria', 'lung disease and computed tomography (CT)' and 'radiological findings'. The radiological findings described by 18 articles on mycobacteriosis were reviewed. In addition, CT images of patients diagnosed with NTM-LD were considered to represent radiological findings. Eighteen publications were used whose main findings were pulmonary cavitation (88.9%), bronchiectasis (77.8%), and pulmonary nodules (55.6%). Despite the overlaps in imaging-related analysis of myocobacterioses with other pulmonary infections, such as tuberculosis, the predominant involvement of the middle lobe and lingula should raise suspicion for NTM-LD.
Keyphrases
- computed tomography
- pulmonary hypertension
- mycobacterium tuberculosis
- risk factors
- image quality
- magnetic resonance imaging
- dual energy
- emergency department
- squamous cell carcinoma
- high resolution
- cystic fibrosis
- ejection fraction
- magnetic resonance
- contrast enhanced
- deep learning
- prognostic factors
- newly diagnosed
- optical coherence tomography
- mass spectrometry
- hiv infected
- human immunodeficiency virus
- locally advanced
- fluorescence imaging