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At the second variant (7 patients) in the picture prevailed total thickening (accompanied by increasing of chromogeneity) of a lobe or the whole lung with presence of multiple roundish achromogenic areas due to lesser air cavities of destruction. In 3 patients, apart from air cavities, there were hyperchromogenic fluid-containing cavities of decay (6 point), in one patient they prevailed in the structure of gangrenous lung. In 8 of 18 patients with first two variants of gangrene a pleural empyema with the typical picture appeared.

The third variant of lung gangrene (4 patients) had a course with development of pyopneumothorax, when a massive pleural fluid with heterogeneous suspension and achromogenic inclusions of air was the leading echo-symptom. Gangrenous changes in a pulmonary tissue were characterized by one of above mentioned variants: a major cavity with purulent content of multiple lesser nidi of destruction.

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The main diagnostic criterion of pleural empyema-Bioplasm 9d nls analyzer

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In the group of patients suffering from pleural empyema there were 54 patients with purulent exudate in a pleural cavity. In 43 patients we registered limited exudate of oval shape with paracostal localization, often along posterior or lateral surface of thorax. In 11 patients pleural empyema was of diffused character, in 6 of them pyopneumothorax was diagnosed. In 39 patients  had para- and metapneumonic genesis, in 8 patients – posttraumatic, it 7 reason was not found.

The main diagnostic criterion of pleural empyema was hyperchromogenic suspension caused by purulent detritus. In the majority of cases it was spread throughout the whole volume of empyemic cavity, had high density, heterogeneous character and it could imitate a solid neoplasm. To differentiate it with a tumor a spectral-entropic analysis must be applied. There were no isochromogenic fibrinous fibers in an empyemic cavity, it was limited by thickened pleura slips (up to 8 mm) with uneven surface.

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In the group of patients suffering from abscessed pneumonia a pathomorphological basis of a picture was presence of interalveolar exudation and inflammatory infiltration. Fibrinous exudate in alveoli allowed to scan pneumonic infiltrate down to the depth, which was the distinctive feature of the whole group.
Quantity and character of hyperchromogenic inclusions distribution mainly depended on severity of pneumonic infiltration, nominally divided into massive, significant and moderate.
Pulmonic fever with massive inflammatory infiltration had almost homogeneous moderately chromogenic structure (4-5 points at Fleindler’s scale) with single lesser hyperchromogenic areas in a root zone. At significant infiltration a number of hyperchromogenic areas was greater, but they were located heterogeneously and between them there were homogeneous hyperchromogenic areas. Moderate inflammatory infiltration was characterized by multiple diffusely located hyperchromogenic inclusions.

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On bioplasm nls-graphy early stage

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Macroscopic basis of an early stage was a large cavity of destruction with insufficient spontaneous drainage, indistinctly separated from surrounding lung tissue and filled with purulent exudate with sequesters (25 patients). On bioplasm nls-graphy early stage was characterized by a neoplasm with heterogeneous structure due to diffuse distribution of lesser achromogenic areas of air beads against the background of prevailing isochromogenic content with heterogeneous suspensions and presence of large hypochromogenic< sequesters. Walls were not visualized, abscess was separated by lung tissue.
At the advanced stage we detected cavity of destruction with solid walls, properly drained by bronchi and containing mainly air, sequesters and small amount of purulent exudate (7 patients). On bioplasm nls-graphy it was characterized by heterogeneous neoplasm with prevailing long achromogenic objects with small amount of fluid in lower parts. Also homogeneous moderately chromogenic abscess wall of equal thickness with distinct external and indistinct internal walls was visualized.

Acute purulent processes are characterized by smaller than gangrenous abscesses size, often insufficient spontaneous drainage with heterogeneous diffuse distribution of achromogenic inclusions of air against isochromogenic background, absence of walls and sequesters. At adequate treatment we detected a positive dynamics in form of abscess cavity decreasing with simultaneous decreasing of fluid content amount and replacing by air. Further on a cicatrix was formed at the spot.

Pathomorphological basis and common bioplasm machine

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Pathomorphological basis and common bioplasm machine-symptom in patients with lung abscess was the presence of intrapulmonary cavity, the main diagnostic criteria of which were related to changing of chromogeneity of internal content and a wall. Spectral-entropic analysis helped to evaluate the content and its distribution in the cavity and thus to evaluate the efficiency of abscess spontaneous drainage through bronchi and decide if it was a purulent or a gangrenous form. Virtual visualization of walls was possible at chronic course of an abscess, thickness of walls and character of a contour were taken into consideration at differential diagnostics with cavernous form of peripheral lung cancer.
We singled out 4 types of acute lung abscess depending on efficiency of its spontaneous drainage through bronchi: blocked abscess, an abscess with insufficient spontaneous drainage, an abscess with free spontaneous drainage and an abscess with air pocket. These variants represent consecutive development steps of a nidal purulent-destructive process in a lung. Offered classification is based on differences in a structure of abscesses, namely on qualitative ratio of hypechromogenic purulent exudate (6 points at Fleindler’s scale) and achromogeneity of air inclusions (1 point) and a character of their spatial distribution in the cavity.