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By Johny A. Verschakelen, Walter De Wever

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Extra info for Computed Tomography of the Lung A Pattern Approach

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Verschakelen and W. 5 Combination of Patterns a b Fig. 10a,b. Both on the axial (a) and on the coronal slice (b), multiple linear opacities are seen in the right lower lobe. A number of these lines cross each other, creating a reticular pattern. Some lines can be identified as septal lines (black arrows), some are intralobular lines (black arrowheads), while some are caused by the thickening of the subpleural (white arrows) and peribronchovascular interstitium (white arrowheads) and by lines that are located in the lung parenchyma and caused by atelectasis and fibrosis (parenchymal bands, irregular linear opacities, and when parallel with the pleural surface, subpleural lines).

Differential diagnosis of ground-glass opacity, divided into diseases with generally an acute course and diseases with a subacute or chronic course. Note that the presence of ground-glass opacity in subacute and chronic diseases often indicates active disease in that area, particularly in the absence of clear signs of lung fibrosis Acute course of disease b Pulmonary infection (bacterial, viral, pneumocys- tis jiroveci pneumonia, mycoplasma pneumonia) b Pulmonary oedema b Pulmonary haemorrhage b Adult (acute) respiratory distress syndrome [ARDS] b Acute interstitial pneumonia [AIP] b Eosinophilic pneumonia (acute) b Radiation pneumonitis (acute) Subacute/chronic course of disease b Hypersensitivity pneumonitis b Smoking related parenchymal lung disease, respiratory bronchiolitis (Respiratory bronchiolitis - interstitial lung disease [RB-ILD], Desquamative interstitial pneumonia [DIP]) b Usual interstitial pneumonia [UIP]: idiopathic pul- monary fibrosis [IPF] and disease associated UIP other diseases (Johkoh et al.

Radiology 181:153–156 Gruden JF, Webb WR (1993) CT findings in a proved case of respiratory bronchiolitis. AJR Am J Roentgenol 161:44–46 Gruden JF, Huang L, Turner J et al (1997) High-resolution CT in the evaluation of clinically suspected Pneumocystis carinii pneumonia in AIDS patients with normal, equivocal, or non-specific radiographic fi ndings. AJR Am J Roentgenol 169:967–975 Hartman TE, Müller NL, Primack SL et al (1994) Metastatic pulmonary calcification in patients with hypercalcemia: fi ndings on chest radiographs and CT scans.

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