Focal organizing pneumonia: CT appearance.

Abstract:

PURPOSE:To clarify the computed tomographic (CT) features of focal organizing pneumonia. MATERIALS AND METHODS:The authors retrospectively studied CT scans of 18 patients with histologically proved focal organizing pneumonia. Chest radiographs in all 18 patients suggested bronchogenic carcinoma. RESULTS:Seventeen of the 18 lesions (94%) had an irregular margin, 10 (56%) had satellite lesions, nine (50%) had a pleural tag, and nine (50%) had an air bronchogram. The pneumonia could be classified into three types: Type A (n = 5) was a small round mass (pleural tag, n = 4). Type B (n = 7) was an oval mass with broad contact with the pleura (satellite lesions and convergence of peripheral vessels, n = 6). Type C (n = 6) was an oval mass along the bronchovascular bundle (satellite lesions, n = 3; pleural tag, n = 4). CONCLUSION:The CT features of focal organizing pneumonia show wide variation, and some type B and C lesions are suggestive of benign lesions. However, other lesions may be difficult to differentiate from bronchogenic carcinoma even with CT.

journal_name

Radiology

journal_title

Radiology

authors

Kohno N,Ikezoe J,Johkoh T,Takeuchi N,Tomiyama N,Kido S,Kondoh H,Arisawa J,Kozuka T

doi

10.1148/radiology.189.1.8372180

subject

Has Abstract

pub_date

1993-10-01 00:00:00

pages

119-23

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

189

pub_type

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