Luísa Teixeira

Fast volumetric registration method for tumor follow-up in pulmonary CT exams.

An oncological patient may go through several tomographic acquisitions during a period of time, needing an appropriate registration. We propose an automatic volumetric intrapatient registration method for tumor follow‐up in pulmonary CT exams. The performance of our method is evaluated and compared with other registration methods based on optimization techniques. We also compared the metrics behavior to inspect which metric is more sensitive to changes due to the presence of lung tumors. PACS numbers: 87.57.nj; 87.57.Q‐; 87.57.N‐

Sarcoidosis: A less common presentation

The clinical presentation of sarcoidosis is diverse and in over 90% of patients there is pulmonary involvement. The most common features of the radiographic findings at the time of diagnosis are bilateral hilar lymphadenopathy and pulmonary infiltration. The authors report the case of a young female patient who presented with multiple bilateral nodular shadows on chest radiograph. Surgical biopsy revealed non-necrotizing granulomas with occasional multinucleated giant cells compatible with sarcoidosis. Although this was a case of stage III pulmonary disease, the patient was asymptomatic, lung function tests were normal and there were no signs of extrathoracic involvement. Spontaneous remission occurred without treatment as shown on high resolution CT scan follow-up, one year later.

Paracoccidioidomicose pulmonar: relato de caso clínico com aspetos em tomografia computorizada de alta resolução

Paracoccidioidomycosis is a systemic mycosis which is endemic in rural areas of Latin America, an important European source of immigrants and a growing European touristic destination as well, with most cases occurring in Brazil, Argentina, Venezuela and Colombia. The authors report a case of a 43 year old man who previously worked in Venezuela and is living in Portugal for 8 years, presenting with a single cutaneous lesion. Despite the absence of valuable respiratory complaints, severe lung damage was found with high-resolution computed tomography (HRCT). Biopsy of the cutaneous lesion and mycologic sputum examination were performed revealing Paracoccidioides brasiliensis infection.

Rosai-Dorfman disease manifesting as a mediastinal mass with calcifications.

Sinus histiocytosis with massive lymphadenopathy, also known as Rosai-Dorfman disease, is a rare entity predominantly affecting children and young adults, characterized in 95% of patients by painless bilateral cervical limphadenopathy. We report the case of a 30-year-old female with an anterior mediastinal mass due to lymph node enlargement, which showed calcifications on computed tomography. To our knowledge, calcification in lymphadenopathy, as is present in this case, has never been described in Rosai-Dorfman disease.

Sarcoidose: Uma forma rara de apresentação

The clinical presentation of sarcoidosis is diverse and in over 90% of patients there is pulmonary involvement. The most common features of the radiographic findings at the time of diagnosis are bilateral hilar lymphadenopathy and pulmonary infiltration. The authors report the case of a young female patient who presented with multiple bilateral nodular shadows on chest radiograph. Surgical biopsy revealed non-necrotizing granulomas with occasional multi-nucleated giant cells compatible with sarcoidosis. Al-though this was a case of stage III pulmonary disease, the patient was asymptomatic, lung function tests were normal and there were no signs of extrathoracic involvement. Spontaneous remission occurred with-out treatment as shown on high resolution CT scan follow-up, one year later. Rev Port Pneumol 2009; XV (3): 543-552

Volumetric Registration Method in Lung Tumour Discrimination

Present CT scanners provide detailed morphological information of pulmonary structures, with great importance to the diagnostic and follow-up in oncological applications. When a patient is submitted to several CT exams during a period of time, these exams need an appropriate registration to study the tumour’s evolution.

Pneumonia Intersticial Descamativa

Authors describe a case of Desquamative Interstitial Pneumonia in a twelve years old boy, with a clinical picture of ligh fever, productive cough and fatigue. The chest X-ray demonstrated the existence of opacity of the right lower lobe. The persistence of the symtoms and radiological alterations, in spite of appropriate antibiotics, motivated the realisation of a thoracotomy that conclued in a righ lower lobectomy and gangliooar deplection, due to the macroscopic apearence af the lung lobe and the lymphadenapaties. The diagnosis of Desquamative Interstitial Pneumonia was made after histological examination of this lung lobe. The ethiopathogenesis, diagnosis and treatment are discussed. REV PORT PNEUMOL. 1999; V (3): 357-364