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Approach to Imaging Pulmonary Disease in the Immune Compromised Host

Lee, Theodore J. MD; Elicker, Brett M. MD

Clinical Pulmonary Medicine: March 2008 - Volume 15 - Issue 2 - p 81-96
doi: 10.1097/CPM.0b013e3181677022
Colleagues in Respiratory Medicine

The increasing number and variety of patients with compromised immune systems poses a diagnostic challenge for the chest physician. Manifestations of pulmonary disease on imaging studies are diverse, with substantial overlap possible between entities. This article reviews radiologic findings in common disease states encountered when treating immune compromised patients and provides a framework for approaching common imaging manifestations, such as air-space consolidation, ground-glass opacities, and nodules.

The increasing number and variety of patients with compromised immune systems poses a diagnostic challenge for the chest physician. Manifestations of pulmonary disease on imaging studies are diverse, with substantial overlap possible between entities. This article reviews radiologic findings in common disease states encountered when treating immune compromised patients and provides a framework for approaching common imaging manifestations, such as air-space consolidation, ground-glass opacities, and nodules.

From the Department of Radiology, University of California San Francisco, San Francisco, California.

Address correspondence to: Theodore J. Lee, MD, San Francisco General Hospital, 1001 Potrero Avenue, Room 1X57, San Francisco, CA 94110. E-mail: theodore.lee@radiology.ucsf.edu.

© 2008 Lippincott Williams & Wilkins, Inc.