To review the imaging findings,
procedures and techniques of radiological interventions in infective pulmonary,
pleural and mediastinal diseases. When,
why and how should a general/thoracic radiologist act?
• Lung FNAB of bacterial infections Pyogenic pulmonary abscess drainage Fungal infections: FNAB and treatment • Pleura Management of pleural effusion Thoracentesis Drainage Pleural biopsy • Mediastinum Pericardiocentesis Mediastinal abscess drainage
Findings and procedure details
Bacterial infections FNAB can change treatment plan in cases of non-responsive pulmonary infections Determination of fungal or bacterial DNA/RNA in the sample obtained by percutaneous FNAB can be helpful in immunocompromised patients Fig. 1 Fig. 2 Nodular lung infections In some cases,
pulmonary infections can manifest as solitary or multiple nodules Percutaneous image-guided biopsy can be helpful in these cases It is indicated to perform more than one sample to increase the accuracy of the...
Percutaneous biopsy or FNAB can contribute to the diagnosis in selected infectious cases Image guided drainage of thoracic infections and fluid collections is the first election if conservative treatment fails and a good alternative of surgical treatment Radiologists should know the indications,
technique and complications of the procedures Ultrasound and CT should be used for guidance – Ultrasound: technique of choice if possible – CT: fluid collections not visible by US
Interventional Management of Pleural Infections,
2009;136:1148 – 1159 Ault MJ,
et al Thoracentesis outcomes: a 12-year experience,
Thorax 2015;70:127-132. Rosenstengel A.
Pleural infection-current diagnosis and management.
J Thorac Dis.
Cardiovasc Intervent Radiol 2008;31: 135. C.
CT-guided biopsies in lung infections in patients with haematological...