2008年11月15日 星期六

嚴重急性呼吸道症候群 SARS (Part-10) image studies

 


上接: 嚴重急性呼吸道症候群 SARS Part-9




嚴重急性呼吸道症候群 SARS (Part-10)


 


十四、SARS影像


 


Case 1 A 34-year-old presented with 3-day history of fever, chills and malaise


Fig. 1, on admission showed ill-defined air space opacification in periphery of right lower zone


 



 


Figure 2 - CXR 3 days later showed progression of air space opacification in right lower zone and a new finding of similar changes in left mid and lower zones after initial treatment



 


Figure 3 - CXR another 3 days showed marked resolution of the consolidative changes in both lungs after treatment



Case 2: A 46-year-old health care worker presented with 2-day history of fever, chills and myalgia


Figure 1 - CXR on admission was normal



Figure 2 - CXR after 3 days showed ill-defined consolidation in periphery of left lower zone



Figure 3 - CXR after another 4 days showed progressive multi-focal consolidation in mid and lower zones of both lungs



 


Case 3: 52-year-old symptomatic female from Virginia
Boca Raton, Florida, USA Courtesy of Dr. Michael E. Katz M D


Fig 1: 15 MARCH 2003 (On presentation to A&E)



Fig 2: 4 days after admission



Fig 3: Another day later



Case 4: SARS Chest X-Ray: (day 5 after onset of symptoms)  Multi-focal confluent areas of air-space opacities in both lungs



Case 5: 6-year-old girl presented with fever, running nose and cough. CXR on admission showed focal air-space consolidation in left upper zone.



Case 6: 24 year old symptomatic female. Frontal view shows vague para spinal opacity in the left lower zone. HRCT showed Consolidation in the posterior basal segment of the LLL



Case 7: 29 year old symptomatic female with normal radiographic appearance. HRCT showed the consolidation of the medial basal segment of the RLL.



 


 


Case 8: (day 3 after onset of symptoms)
Peripheral ill-defined consolidation in the lateral basal segment of left lower lobe



Case 9: (day 2 after onset of symptoms)
Peripheral ground-glass opacification in middle lobe



Case 10: (day 3 after onset of symptoms)
Ground-glass opacification in perihilar region of right upper lobe



Case 11: (day 3 after onset of symptoms)
Ill-defined consolidation with air-bronchogram in apical segment of right lower lobe



Case 12: (day 5 after onset of symptoms)
Multi-focal peripheral consolidation in posterior basal segments of both lower lobes and an area of ground-glass opacification in left lingular segment



Case 13: (day 5 after onset of symptoms)
Patchy, multi-focal, ground-glass opacification and consolidation in both upper lobes



Case 14: (day 4 after onset of symptoms)
Multiple confluent areas of consolidation in the middle lower and both lower lobes



7 則留言:

  1. 這些CXR, chest CT的描述, 跟平時我們寫的方式, 差很多, 有些英文我看不懂, 也不懂怎樣翻.
    教授明年可能會回國嗎?
    還是暫時都不回來了?

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  2. 這些說明是給已經有根基的人看的,所以都是止於大致說明而已。
    明年看農曆年何時,避開,以免機票費被提高。

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  3. 農曆年在1月底(最後一星期).
    您要跟夫人一起回國旅遊還是探親呢?
    確定會回國嗎?
    問你喔, 如果我沒有買按摩器材幫您按摩, 反而是買可以觀賞保值的東西送您, 您會不會不高興?
    您這麼晚了還沒休息喔?
    weir~

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  4. 我們是否返台,還是沒有確定。
    我返台,妳買任何超過三十元台幣的東西,我都會不高興。

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  5. 不超過30元的東西, 連零食都很少耶.
    沒關係拉我在想想.
    現在百貨公司剛好週年慶.
    滿3000可以抵300.
    如果我現在買起來, 您明年初回來剛好.
    不過電子產品, 在國外有電壓問題!
    我沒辦法解決! (我一直很想買個按摩器材, 可以幫您抓抓龍! 讓您運動或是坐在電腦椅前面累了, 可以自動敲敲您的腰, 背部, 可是那些很重, 不好扛!).
    跟您說喔~30元以下的過年心意, 可是很難找的喔!
    沒有人過年給長輩包30元的紅包吧.
    您又不缺錢, 換物品太難了拉!
    30元真的連一個生魚片都買不起ㄆ.
    我在等家裡門口的車子離開, 被別人的車子擋住了, 沒辦法出門加班寫功課, 真糟糕! 您先休息吧.
    其實我最希望的是可以直接用寄的, 不過很多人聽到的表情, 好像運費會比送的東西貴, 我也看不懂國外是否有買東西到府服務, 又加上我看不懂英文, 您住美國, 對我來說有點不方便呢ㄆ.

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  6. 我講話美國式,很直接,也不會講價,說不想讓妳花錢,就是不要妳花錢。不要讓我不愉快。妳送我東西我不會高興,妳為什麼不能瞭解?

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  7. 喔..
    知道了拉..
    屋屋~好兇喔.

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