To review the imaging findings,
procedures and techniques of radiological interventions in infective pulmonary,
pleural and mediastinal diseases.
why and how should a general/thoracic radiologist act?
FNAB of bacterial infections
Pyogenic pulmonary abscess drainage
Fungal infections: FNAB and treatment
Management of pleural effusion
Mediastinal abscess drainage
Findings and procedure details
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 procedure
Pyogenic pulmonary abscess
In the modern medical...
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
et al Thoracentesis outcomes: a 12-year experience,
Pleural infection-current diagnosis and management.
J Thorac Dis.
Cardiovasc Intervent Radiol 2008;31: 135.
CT-guided biopsies in lung infections in patients with haematological malignancies,
Diagnostic and Interventional Imaging,
An update on the drainage of pyogenic lung abscesses.