       Document 0213
 DOCN  M9620213
 TI    Microabscesses of the liver and spleen in AIDS: detection with 5-MHz
       sonography.
 DT    9602
 AU    Murray JG; Patel MD; Lee S; Sandhu JS; Feldstein VA; Department of
       Radiology, University of California, San Francisco; General Hospital,
       USA.
 SO    Radiology. 1995 Dec;197(3):723-7. Unique Identifier : AIDSLINE
       MED/96072857
 AB    PURPOSE: To determine whether sonograms of the liver and spleen,
       obtained with 5-MHz linear-array transducers, aid in detection of
       hepatosplenic microabscesses in patients with acquired immunodeficiency
       syndrome (AIDS). MATERIALS AND METHODS: Abdominal sonographic
       examinations (n = 111) were performed in 102 consecutive patients with
       AIDS. A 3.5-MHz sector transducer was used in each study, with
       additional images of the hepatic and splenic parenchyma obtained with a
       5-MHz linear-array transducer. Each study was reviewed without benefit
       of the 5-MHz images, and categories of the hepatic and splenic
       parenchyma were as follows: 1, lesions definitely present; 2, lesions
       possibly present; and 3, lesions absent. The 5-MHz images were
       subsequently reviewed, and studies were recategorized. Findings were
       correlated with results of pathologic examination. RESULTS: The 5-MHz
       scans enabled identification of focal hepatic or splenic lesions in 14
       of 96 studies placed in category 2 or 3 on the basis of the 3.5-MHz
       sector scans. CONCLUSION: In patients with AIDS, 5-MHz sonograms of the
       liver and spleen enable detection of microabscesses not confidently
       identified on 3.5-MHz scans.
 DE    Abscess/MICROBIOLOGY/PATHOLOGY/*ULTRASONOGRAPHY  Acquired
       Immunodeficiency Syndrome/ULTRASONOGRAPHY  Adult  AIDS-Related
       Opportunistic Infections/PATHOLOGY/*ULTRASONOGRAPHY
       Candidiasis/PATHOLOGY/ULTRASONOGRAPHY  Female  Human  Liver
       Diseases/MICROBIOLOGY/PATHOLOGY/*ULTRASONOGRAPHY  Lymphoma,
       AIDS-Related/PATHOLOGY/ULTRASONOGRAPHY  Lymphoma,
       Non-Hodgkin's/PATHOLOGY/ULTRASONOGRAPHY  Male  Middle Age  Mycobacterium
       avium-intracellulare Infection/PATHOLOGY/  ULTRASONOGRAPHY  Pneumocystis
       carinii Infections/PATHOLOGY/ULTRASONOGRAPHY  Sarcoma,
       Kaposi's/PATHOLOGY/ULTRASONOGRAPHY  Splenic
       Diseases/MICROBIOLOGY/PATHOLOGY/*ULTRASONOGRAPHY  Splenic
       Neoplasms/PATHOLOGY/ULTRASONOGRAPHY  Tuberculosis,
       Hepatic/PATHOLOGY/ULTRASONOGRAPHY  Tuberculosis,
       Splenic/PATHOLOGY/ULTRASONOGRAPHY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

