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©2011 Baishideng Publishing Group Co.
World J Radiol. Jan 28, 2011; 3(1): 17-23
Published online Jan 28, 2011. doi: 10.4329/wjr.v3.i1.17
Published online Jan 28, 2011. doi: 10.4329/wjr.v3.i1.17
Table 1 Demographic profile of patients n (%)
| Variables | Frequency (n = 91) |
| Age group (yr) | |
| 0-5 | 19 (20.9) |
| 5-10 | 26 (28.6) |
| 10-15 | 39 (42.9) |
| 15-17 | 7 (7.7) |
| Sex | |
| Male | 47 (51.6) |
| Female | 44 (48.4) |
| Presenting symptoms | |
| Fever | 88 (96.7) |
| Cough | 56 (61.5) |
| Weight loss | 78 (85.7) |
| Loss of appetite | 90 (98.9) |
| Lymphadenopathy | 38 (41.7) |
| History of contact | 41 (45.0) |
| Laboratory investigations | |
| Mantoux positivity | 91 (100) |
| Elevated ESR | 65 (71.4) |
| AFB detection | 20 (22.0) |
Table 2 Computed tomography findings n (%)
| Findings | Frequency (n = 91) |
| Lymph nodal involvement | 88 (96.7) |
| Parenchymal lesion | 64 (70.3) |
| Airway disease | 32 (35.2) |
| Pleural lesion | 18 (19.8) |
Table 3 Nodal distribution and characteristics
| Frequency (n = 88) | % | |
| Nodal distribution | Frequency and mean size | |
| Paratracheal | 74 (2.21 cm) | 84.1 |
| Pretracheal | 50 (1.62 cm) | 56.8 |
| Precarinal | 48 (1.72 cm) | 54.4 |
| Subcarinal | 67 (2.03 cm) | 76.1 |
| Right hilar | 46 (1.87 cm) | 52.3 |
| Left hilar | 32 (1.68 cm) | 36.4 |
| Prevascular | 22 (2.82 cm) | 25.0 |
| Azygoesophageal | 30 (1.9 cm) | 34.1 |
| Aorto-pulmonary window | 10 (2.0 cm) | 11.4 |
| Nodal characteristics | ||
| Enhancement pattern | ||
| Peripheral rim | 12 | 13.6 |
| Homogeneous | 30 | 34.1 |
| Inhomogeneous | 46 | 52.3 |
| Calcification | 25 | 28.4 |
| Conglomerate | 50 | 56.8 |
| Discrete | 38 | 43.2 |
| Obscured perinodal fat | 74 | 84.1 |
Table 4 Comparison of nodal characteristics pre- and post-treatment
| Lymph nodal characteristics | Frequency (n = 30) | P value | |
| Pre-treatment | Post-treatment | ||
| Lymph nodes seen with mean size | 30 (1.83 cm) | 24 (0.23 cm) | < 0.05 |
| Enhancement pattern | |||
| Peripheral rim | 3 | 0 | < 0.05 |
| Homogeneous | 7 | 24 | > 0.05 |
| Inhomogeneous | 20 | 0 | < 0.05 |
| Calcification | 8 | 10 | > 0.05 |
| Conglomerate | 11 | 0 | < 0.05 |
| Discrete | 19 | 24 | > 0.05 |
| Obscured perinodal fat | 17 | 0 | < 0.05 |
Table 5 Nodal characteristics in patients who had residual disease at 6 mo
| Nodes | Pre-treatment | 6 mo | 9 mo |
| Mean size (cm) | 2.4 | 1.8 | 1.4 |
| Maximum size (cm) | 5 | 4.5 | 3.5 |
| Enhancement | |||
| Peripheral rim | 2 | 2 | 1 |
| Homogeneous | 0 | 1 | 2 |
| Inhomogeneous | 1 | 0 | 0 |
| Calcification | 1 | 1 | 1 |
| Conglomerate | 1 | 1 | 1 |
| Discrete | 2 | 2 | 2 |
| Obscured perinodal fat | 2 | 1 | 0 |
- Citation: Mukund A, Khurana R, Bhalla AS, Gupta AK, Kabra SK. CT patterns of nodal disease in pediatric chest tuberculosis. World J Radiol 2011; 3(1): 17-23
- URL: https://www.wjgnet.com/1949-8470/full/v3/i1/17.htm
- DOI: https://dx.doi.org/10.4329/wjr.v3.i1.17