PEDIATRICS Vol. 78 No. 2 August 1986, pp. 283-286
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Concealed Pulmonary Abscess: Diagnosis by Computed Tomography

J. Fred Johnson MD1, William E. Shiels DO1, Christopher B. White MD1, and Blan D. Williams MD1

1 From the Department of Radiology, and Infectious Disease Service, Department of Pediatrics, Tripler Army Medical Center, Honolulu

During childhood, an acute pneumonia with bulging margins usually reflects an abundant production of exudate. However, an unexplained persistence of an expansile pneumonia following therapy indicates that the infectious process may be isolating itself by forming an abscess. Previous reports emphasize that such abscesses are rarely diagnosed prior to thoracotomy or autopsy. Computed tomography facilitates an earlier disclosure of an abscess or empyema that is producing a persistent but unexplained expanding opacification on plain film.

Key Words: pulmonary abscess • computed tomography • lung

Submitted on November 5, 1985
Accepted on December 16, 1985