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  • Title: [Pulmonary manifestations in HIV patients: role of thoracic radiography, CT and HRCT].
    Author: Kauczor HU, Schnütgen M, Fischer B, Schwickert HC, Härtel S, Schadmand-Fischer S, Gerken G, Schweden F.
    Journal: Rofo; 1995 Apr; 162(4):282-7. PubMed ID: 7749082.
    Abstract:
    AIM: To determine the prevalence of pulmonary changes on chest radiographs and computed tomography (CT/HRCT) in HIV patients and their relation to pulmonary symptoms. MATERIAL AND METHOD: 64 HIV patients were examined prospectively. 15 had no respiratory symptoms (group I), 30 had non-specific respiratory symptoms (group II), 19 complained of dyspnoea (group III). Chest radiographs and CT were performed within a week. In patients with positive findings, bronchoscopy was carried out with bacteriological and histological examinations. RESULTS: In group 1, 13% of chest radiographs and 40% of CTs showed infiltrative changes. In group II, the figures were 27% and 57% respectively. In group III, abnormalities were found in all cases by both examinations. CONCLUSIONS: In the absence of pulmonary symptoms, imaging is not indicated since it has no clinical consequences. In the presence of pulmonary symptoms, CT/HRCT should be performed whether the chest radiograph is normal or not, since it may reveal additional information.
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