The Radiographic Findings of Fibrosing Mediastinitis
We retrospectively reviewed the radiographic findings of fibrosing mediastinitis (FM) in 33 patients. Imaging studies included chest radiographs, computed tomographic scans, magnetic resonance imaging examinations, esophograms, ventilation perfusion scans, angiograms, and venograms. Findings include...
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| Veröffentlicht in: | Chest 1994-08, Vol.106 (2), p.484-489 |
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| creator | Sherrick, Andrew D. Brown, Larry R. Harms, Gordon F. Myers, Jeffrey L. |
| description | We retrospectively reviewed the radiographic findings of fibrosing mediastinitis (FM) in 33 patients. Imaging studies included chest radiographs, computed tomographic scans, magnetic resonance imaging examinations, esophograms, ventilation perfusion scans, angiograms, and venograms. Findings include bronchial narrowing in 11 patients (33 percent), pulmonary artery obstruction/narrowing in 6 patients (18 percent), esophageal narrowing in 3 patients (9 percent), and superior vena cava obstruction/narrowing in 13 patients (39 percent). Two distinctly different radiographic patterns were identified: a localized pattern seen in 27 patients (82 percent) that frequently contained calcification and a diffuse pattern seen in 6 patients (18 percent) that did not contain calcification. The localized pattern is most likely due to histoplasmosis and does not show radiographic evidence of improvement with steroid therapy. The diffuse pattern may more likely be truly idiopathic or of a noninfectious etiology. Several patients with the diffuse pattern showed radiographic evidence of improvement with steroid therapy. |
| doi_str_mv | 10.1378/chest.106.2.484 |
| format | Article |
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Imaging studies included chest radiographs, computed tomographic scans, magnetic resonance imaging examinations, esophograms, ventilation perfusion scans, angiograms, and venograms. Findings include bronchial narrowing in 11 patients (33 percent), pulmonary artery obstruction/narrowing in 6 patients (18 percent), esophageal narrowing in 3 patients (9 percent), and superior vena cava obstruction/narrowing in 13 patients (39 percent). Two distinctly different radiographic patterns were identified: a localized pattern seen in 27 patients (82 percent) that frequently contained calcification and a diffuse pattern seen in 6 patients (18 percent) that did not contain calcification. The localized pattern is most likely due to histoplasmosis and does not show radiographic evidence of improvement with steroid therapy. The diffuse pattern may more likely be truly idiopathic or of a noninfectious etiology. Several patients with the diffuse pattern showed radiographic evidence of improvement with steroid therapy.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.106.2.484</identifier><identifier>PMID: 7774324</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Calcinosis - diagnosis ; Calcinosis - diagnostic imaging ; Female ; Fibrosis ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging ; Mediastinal Diseases - diagnosis ; Mediastinal Diseases - diagnostic imaging ; Mediastinitis - diagnosis ; Mediastinitis - diagnostic imaging ; Mediastinum - diagnostic imaging ; Mediastinum - pathology ; Medical sciences ; Middle Aged ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Respiratory system ; Retrospective Studies ; Tomography, X-Ray Computed</subject><ispartof>Chest, 1994-08, Vol.106 (2), p.484-489</ispartof><rights>1994 The American College of Chest Physicians</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-b87d05a962bdd064ae81a1087c9fbf2eae2633e465c51d13dccedcf47d2d58253</citedby><cites>FETCH-LOGICAL-c477t-b87d05a962bdd064ae81a1087c9fbf2eae2633e465c51d13dccedcf47d2d58253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4235573$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7774324$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sherrick, Andrew D.</creatorcontrib><creatorcontrib>Brown, Larry R.</creatorcontrib><creatorcontrib>Harms, Gordon F.</creatorcontrib><creatorcontrib>Myers, Jeffrey L.</creatorcontrib><title>The Radiographic Findings of Fibrosing Mediastinitis</title><title>Chest</title><addtitle>Chest</addtitle><description>We retrospectively reviewed the radiographic findings of fibrosing mediastinitis (FM) in 33 patients. Imaging studies included chest radiographs, computed tomographic scans, magnetic resonance imaging examinations, esophograms, ventilation perfusion scans, angiograms, and venograms. Findings include bronchial narrowing in 11 patients (33 percent), pulmonary artery obstruction/narrowing in 6 patients (18 percent), esophageal narrowing in 3 patients (9 percent), and superior vena cava obstruction/narrowing in 13 patients (39 percent). Two distinctly different radiographic patterns were identified: a localized pattern seen in 27 patients (82 percent) that frequently contained calcification and a diffuse pattern seen in 6 patients (18 percent) that did not contain calcification. The localized pattern is most likely due to histoplasmosis and does not show radiographic evidence of improvement with steroid therapy. The diffuse pattern may more likely be truly idiopathic or of a noninfectious etiology. Several patients with the diffuse pattern showed radiographic evidence of improvement with steroid therapy.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Calcinosis - diagnosis</subject><subject>Calcinosis - diagnostic imaging</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging</subject><subject>Mediastinal Diseases - diagnosis</subject><subject>Mediastinal Diseases - diagnostic imaging</subject><subject>Mediastinitis - diagnosis</subject><subject>Mediastinitis - diagnostic imaging</subject><subject>Mediastinum - diagnostic imaging</subject><subject>Mediastinum - pathology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Respiratory system</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UM9LwzAUDqLMOT17EnYQb93yq0l7FHEqTASZ55Amr2tG186kU_zvzeyYXjwlH-_78d6H0CXBE8JkNjUVhG5CsJjQCc_4ERqSnJGEpZwdoyHGhCZM5PQUnYWwwhGTXAzQQErJGeVDxBcVjF-1de3S603lzHjmGuuaZRi3ZfwXvg0RjZ_BOh0617jOhXN0Uuo6wMX-HaG32f3i7jGZvzw83d3OE8Ol7JIikxanOhe0sBYLriEjmuBMmrwsSgoaqGAMuEhNSixh1hiwpuTSUptmNGUjdNP7bnz7vo2HqrULBupaN9Bug5IS50KKHXHaE01cN3go1ca7tfZfimC160n99BSRUFTFnqLiam-9LdZgD_x9MXF-vZ_rYHRdet0YFw40TlmaSvYbXLll9ek8qLDWdR1NWR-5are-0fXf4LxXQCzuw4FXwTho4uVRbTplW_fv0t9V8JWn</recordid><startdate>19940801</startdate><enddate>19940801</enddate><creator>Sherrick, Andrew D.</creator><creator>Brown, Larry R.</creator><creator>Harms, Gordon F.</creator><creator>Myers, Jeffrey L.</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940801</creationdate><title>The Radiographic Findings of Fibrosing Mediastinitis</title><author>Sherrick, Andrew D. ; Brown, Larry R. ; Harms, Gordon F. ; Myers, Jeffrey L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-b87d05a962bdd064ae81a1087c9fbf2eae2633e465c51d13dccedcf47d2d58253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Calcinosis - diagnosis</topic><topic>Calcinosis - diagnostic imaging</topic><topic>Female</topic><topic>Fibrosis</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Magnetic Resonance Imaging</topic><topic>Mediastinal Diseases - diagnosis</topic><topic>Mediastinal Diseases - diagnostic imaging</topic><topic>Mediastinitis - diagnosis</topic><topic>Mediastinitis - diagnostic imaging</topic><topic>Mediastinum - diagnostic imaging</topic><topic>Mediastinum - pathology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Respiratory system</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sherrick, Andrew D.</creatorcontrib><creatorcontrib>Brown, Larry R.</creatorcontrib><creatorcontrib>Harms, Gordon F.</creatorcontrib><creatorcontrib>Myers, Jeffrey L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sherrick, Andrew D.</au><au>Brown, Larry R.</au><au>Harms, Gordon F.</au><au>Myers, Jeffrey L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Radiographic Findings of Fibrosing Mediastinitis</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1994-08-01</date><risdate>1994</risdate><volume>106</volume><issue>2</issue><spage>484</spage><epage>489</epage><pages>484-489</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>We retrospectively reviewed the radiographic findings of fibrosing mediastinitis (FM) in 33 patients. Imaging studies included chest radiographs, computed tomographic scans, magnetic resonance imaging examinations, esophograms, ventilation perfusion scans, angiograms, and venograms. Findings include bronchial narrowing in 11 patients (33 percent), pulmonary artery obstruction/narrowing in 6 patients (18 percent), esophageal narrowing in 3 patients (9 percent), and superior vena cava obstruction/narrowing in 13 patients (39 percent). Two distinctly different radiographic patterns were identified: a localized pattern seen in 27 patients (82 percent) that frequently contained calcification and a diffuse pattern seen in 6 patients (18 percent) that did not contain calcification. The localized pattern is most likely due to histoplasmosis and does not show radiographic evidence of improvement with steroid therapy. The diffuse pattern may more likely be truly idiopathic or of a noninfectious etiology. Several patients with the diffuse pattern showed radiographic evidence of improvement with steroid therapy.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>7774324</pmid><doi>10.1378/chest.106.2.484</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Biological and medical sciences Calcinosis - diagnosis Calcinosis - diagnostic imaging Female Fibrosis Humans Investigative techniques, diagnostic techniques (general aspects) Magnetic Resonance Imaging Mediastinal Diseases - diagnosis Mediastinal Diseases - diagnostic imaging Mediastinitis - diagnosis Mediastinitis - diagnostic imaging Mediastinum - diagnostic imaging Mediastinum - pathology Medical sciences Middle Aged Radiodiagnosis. Nmr imagery. Nmr spectrometry Respiratory system Retrospective Studies Tomography, X-Ray Computed |
| title | The Radiographic Findings of Fibrosing Mediastinitis |
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