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).