Hasan KAHRAMAN, Ekrem DOĞAN, Hayriye SAYARLIOĞLU

Thoracic multidedector CT findings in hemodialysis patients

Amaç: Üremik hastalarda akciğer ile ilgili bir çok komplikasyonlar görülmektedir. Bu hastalarda radiyolojik görüntüleme çok önemlidir. Bu retrospektif çalışmada amacımız hemodiyaliz hastalarında multi dedektör bilgisayarlı tomografi (MDBT) bulgularını ortaya koymaktır. Metod: Öksürük, balgam, ateş, zayıflama, iştahsızlık,gibi semptomlardan biri veya birkaçı nedeniyle MDBT çekilen yirmi dokuz hemodiyaliz tedavisi altındaki hastanın sonuçları değerlendirilmeye alındı.Bu hastaların tamamında MDBT çekilmeden göggüs grafileri çekilmişti. Bulgular: Hastalardaki MDBT bulguları aşağıdaki gibi sıralanmıştır; kardiyomegali (n:13, %45), buzlu cam görünümü (n:10, %34), plevral effuzyon (n:10, %34), parenkimal infiltrasyon (n:9, %31), scar-fibroz (n:9, %31), plevral kalınlaşma (n:6, %21), mediastinal ve/veya hiler lenfadenopati (n:6, %21),budanmış ağaç görünümü (n:5, %17) atelektazi (n:4, %14) ve amfizem (n:1, %3). Sonuç: Yaptığımız bu çalışma, gögüs grafisi ile gösterilemeyen bir çok patolojik bulgunun MDBT ile gösterilebildiğini ortaya koymuştur.

Hemodiyaliz hastalarında multidedektör BT akciğer bulguları

Aim: Uremia is often associated with a large array of thoracic complications. Radiological examinations have great importance in diagnosis of thoracic diseases. The main focus of this retrospective study was to document the multidedector computed tomography (MDCT) findings involving thoracic complications in hemodialysis patients. Method: Twenty-nine hemodialysis patients who had one or more of the following complaints; dyspnea, cough, malaise, weight loss, fever were included undergone MDCT in this study. Result: The MDCT and chest x-ray findings in our patients were as follows; cardiomegaly (13 vs. 12), ground-glass opacity (10 vs 0), pleural effusion (10 vs 9), parenchymal infiltration (9 vs. 2), scarring-fibrosis (9 vs. 3), pleural thickening (6 vs. 3), mediastinal and/or hilar lymphadenopathy (6 vs 0),’tree in bud’ appearance (5 vs. 0) atelectasis (4 vs. 0) , and emphysema (1 vs. 0) respectively . Conclusion: Our findings suggest that MDCT revealed many pathologic findings that chest x-ray could not detect.

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