Acute exacerbation of chronic interstitial pneumonia: high-resolution computed tomography and pathologic findings.

Abstract:

PURPOSE:To review the high-resolution computed tomography (CT) and histologic findings of acute exacerbation of chronic interstitial pneumonia and to assess the potential value of CT and histologic findings in predicting prognosis. MATERIALS AND METHODS:The study included 24 patients with clinical and histologic diagnosis of acute exacerbation of chronic interstitial pneumonia who underwent CT within 1 month before biopsy or autopsy. The final diagnosis was acute exacerbation of idiopathic pulmonary fibrosis (n=12), usual interstitial pneumonia associated with connective tissue disorders (n=5), idiopathic nonspecific interstitial pneumonia (n=4), and nonspecific interstitial pneumonia associated with connective tissue disorders (n=3). RESULTS:The main CT findings consisted of bilateral ground-glass opacities (100%) and consolidation (71%) superimposed on a reticular pattern. The ground-glass opacities and/or consolidation were diffuse in 54% of the cases, multifocal in 21%, and peripheral in 25%. The histologic patterns of acute injury consisted of diffuse alveolar damage (n=20), acute organizing pneumonia (OP) (n=3), and extensive fibroblastic foci (n=1). Eight (33%) patients survived the acute episode, including all 3 patients with OP and the patient with extensive fibroblastic foci (P=0.01). The survivors included 3 of 13 (23%) patients with diffuse parenchymal opacification, 2 of 5 (40%) patients with multifocal, and 3 of 6 (50%) patients with peripheral opacification on CT. CONCLUSIONS:The CT findings of acute exacerbation of chronic interstitial pneumonia consist of diffuse, multifocal, or peripheral parenchymal opacification superimposed on reticulation. Histologic findings of OP are superior to CT in predicting prognosis.

journal_name

J Thorac Imaging

authors

Silva CI,Müller NL,Fujimoto K,Kato S,Ichikado K,Taniguchi H,Kondoh Y,Johkoh T,Churg A

doi

10.1097/01.rti.0000213588.52343.13

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

221-9

issue

3

eissn

0883-5993

issn

1536-0237

pii

00005382-200708000-00002

journal_volume

22

pub_type

杂志文章
  • Systemic arterial supply to the normal basal segments of the left lower lobe: radiographic and CT findings in 11 patients.

    abstract:SUMMARY:To assess the radiologic findings of systemic arterial supply to the normal basal segments of the left lower lobe, chest radiographs and CT scans of all 11 patients were reviewed retrospectively by two chest radiologists. On posteroanterior chest radiographs (n = 11), the anomalous systemic artery arising from ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-200201000-00004

    authors: Kim TS,Lee KS,Im JG,Goo JM,Park JS,Kim JH

    更新日期:2002-01-01 00:00:00

  • Pulmonary capillary hemangiomatosis: radiographic appearance.

    abstract::Pulmonary capillary hemangiomatosis is a rare disorder that is characterized pathologically by formation of capillaries along alveolar walls that may ultimately invade the pulmonary parenchyma and pulmonary arteries. The clinic presentation overlaps that of primary pulmonary hypertension, but the natural history of pu...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-199801000-00012

    authors: Lippert JL,White CS,Cameron EW,Sun CC,Liang X,Rubin LJ

    更新日期:1998-01-01 00:00:00

  • Nontraumatic pulmonary fat embolism syndrome: radiologic and pathologic correlations.

    abstract::The authors report a case of pulmonary fat embolism syndrome without identifiable cause that was seen on chest radiographs and high-resolution computed tomography as diffuse ground-glass attenuation, particularly in nondependent portions of both lungs. The radiologic findings were shown on open-lung biopsy to represen...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-200204000-00012

    authors: Choi JA,Oh YW,Kim HK,Kang KH,Choi YH,Kang EY

    更新日期:2002-04-01 00:00:00

  • Fractal analysis of pulmonary arteries: the fractal dimension is lower in pulmonary hypertension.

    abstract::We analyzed the spatial structure of contact radiographs of barium-filled pulmonary arteries of rats raised in room air and in two environments that induce pulmonary arterial hypertension (PAH)--hypoxia and hyperoxia. We found that the spatial structure of the pulmonary arteries was fractal in both the control and the...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:

    authors: Boxt LM,Katz J,Liebovitch LS,Jones R,Esser PD,Reid L

    更新日期:1994-01-01 00:00:00

  • Contemporary cardiac imaging: an overview.

    abstract::Comprehensive cardiac assessment embraces virtually every imaging modality and includes information about coronary vascular anatomy as well as cardiac morphology, function, perfusion, metabolism, and tissue characterization. Through sophisticated computer processing and image analysis, newer imaging technologies such ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/00005382-200010000-00002

    authors: Goldin JG,Ratib O,Aberle DR

    更新日期:2000-10-01 00:00:00

  • Noninfectious lung disease in immunocompromised patients.

    abstract::Immunocompromised hosts have defects in their immune system that make them at risk of developing a variety of infections. In addition, these persons may develop a wide variety of noninfectious disease processes that involve the lung. These disorders may be caused by the underlying disease process. This may be seen wit...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/00005382-199901000-00002

    authors: Conces DJ Jr

    更新日期:1999-01-01 00:00:00

  • Evaluation of Incidental Cardiac Masses on Computed Tomography Imaging: An Algorithmic Approach.

    abstract::Cardiac masses encountered on imaging may present a diagnostic dilemma when discovered incidentally, or even when they serve as the principal reason for the examination. In this review, we present an algorithmic approach for assessing cardiac masses by integrating clinical information with radiologic findings to reach...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/RTI.0000000000000371

    authors: Bernheim A,Gore A,Goyal N

    更新日期:2019-01-01 00:00:00

  • Vasculitis in the lung.

    abstract::Pulmonary vasculitis occurs most commonly in the collagen vascular diseases and in granulomatous pulmonary disease. In the collagen vascular group, vasculitis causes diffuse interstitial inflammation and subsequent fibrosis, resulting in interstitial radiographic patterns, especially in the lower lung fields. Vasculit...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-198801000-00006

    authors: Feigin DS

    更新日期:1988-01-01 00:00:00

  • Positron emission tomography in the lung.

    abstract::Positron emission tomography using the ECAT II scanner to image and measure regional lung function is outlined. The combined use of transmission and emission imaging provides quantitative information about regional lung structure (density, extravascular density, and vascular volume) and function (ventilation, perfusio...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/00005382-198512000-00011

    authors: Hughes JM,Brudin LH,Valind SO,Rhodes CG

    更新日期:1985-12-01 00:00:00

  • Imaging the heart-lung relationships during a chest computed tomography examination: is electrocardiographic gating the only option?

    abstract::Before the advent of fast-scanning multidetector-row computed tomography (CT) technology, thoracic CT studies were exclusively used for the morphologic assessment of thoracic organs, as the concurrent examination of the heart was hampered by image degradation from cardiac motion artifacts. The introduction of fast rot...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/RTI.0b013e3181e0f8c9

    authors: Remy-Jardin M,Faivre JB,Santangelo T,Tacelli N,Remy J

    更新日期:2010-08-01 00:00:00

  • ACR Appropriateness Criteria® pulmonary hypertension.

    abstract::Pulmonary hypertension (PH) may be idiopathic or related to a variety of diseases. The diagnosis, accurate assessment of etiology and severity, prognosis, treatment response, and follow-up of PH can be achieved using a diverse set of diagnostic examinations. In this review, the role of imaging in the evaluation of PH ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e31829191b5

    authors: Brown K,Gutierrez AJ,Mohammed TL,Kirsch J,Chung JH,Dyer DS,Ginsburg ME,Heitkamp DE,Kanne JP,Kazerooni EA,Ketai LH,Parker JA,Ravenel JG,Saleh AG,Shah RD,Steiner RM,Suh RD,Expert Panel on Thoracic Imaging.

    更新日期:2013-07-01 00:00:00

  • Performance of Computed Tomographic Pulmonary Angiography Compared With Standard Chest Computed Tomography for Identification of Solid Organ, Serosal, and Nodal Findings.

    abstract:PURPOSE:Computed tomographic pulmonary angiography (CTPA) is the test of choice for patients with acute chest pain and suspected pulmonary embolism (PE). This examination is excellent for the diagnosis of PE and can also often identify alternative diagnoses. The early phase of contrast, however, may not allow for optim...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0000000000000476

    authors: Anderson JF,Raptis C,Bhalla S

    更新日期:2020-09-01 00:00:00

  • Squamous Cell Carcinoma of the Lung Spreading Along the Alveolar Walls With a Bubblelike Appearance on HRCT.

    abstract::On health examination, a nodular opacity of size of 25 mm was detected in a 54-year-old man. High-resolution computed tomography scans showed irregular-shaped ground glass opacity with bubble-like appearance in the right lung. The low-magnified histological findings after right upper lobectomy demonstrated squamous ce...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/01.rti.0000204400.63644.88

    authors: Kobayashi H,Nagao H,Kanoh S,Motoyoshi K,Ozeki Y,Aida S

    更新日期:2006-03-01 00:00:00

  • Interobserver Reliability of the Coronary Artery Disease Reporting and Data System in Clinical Practice.

    abstract:PURPOSE:This study aimed to evaluate interobserver reproducibility between cardiothoracic radiologists applying the Coronary Artery Disease Reporting and Data System (CAD-RADS) to describe atherosclerotic burden on coronary computed tomography angiography. METHODS:Forty clinical computed tomography angiography cases w...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0000000000000503

    authors: Hu JY,Bergquist PJ,Hossain R,Ropp AM,Kligerman S,Amin SB,Sechrist JW,Patel P,Jeudy J,White CS

    更新日期:2020-03-20 00:00:00

  • Primary chordoid meningioma of the lung.

    abstract::We present a case of primary chordoid meningioma of the lung in a 21-year-old patient with Diamond-Blackfan anemia. The neoplasm was incidentally discovered as a new right upper lobe mass on admission chest radiograph. Computed tomography examination showed a round mass with peripheral nodular enhancement. Pathologic ...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e3181d9cbab

    authors: Petscavage JM,Richardson ML,Nett M,Hoch B

    更新日期:2011-02-01 00:00:00

  • Applications of exercise radionuclide ventriculography in the clinical management of patients with coronary artery disease.

    abstract::Exercise radionuclide ventriculography is commonly used in patients with coronary artery disease, for both diagnostic purposes and patient management decisions. Both applications are reviewed in this article. There has been much debate as to the diagnostic efficacy of this test. Four factors influence this determinati...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/00005382-199007000-00008

    authors: Rozanski A

    更新日期:1990-07-01 00:00:00

  • Pulmonary hyalinizing granuloma mimicking multiple lung metastases: report of fluorodeoxyglucose positron emission findings.

    abstract::Pulmonary hyalinizing granuloma (PHG) is a rare disease characterized by multiple bilateral pulmonary nodules of uncertain etiology. We describe a 71-year-old female patient with thyroid papillary carcinoma in whom bilateral pulmonary nodules were found during a routine chest radiography examination. Subsequent fluoro...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e3181a4bb41

    authors: Lien CT,Yang CJ,Yang SF,Chou SH,Huang MS

    更新日期:2010-05-01 00:00:00

  • Screening for lung cancer: to be or not to be covered by medicare?

    abstract::The National Lung Cancer Screening Trial (NLST) found a reduction in lung cancer mortality in high-risk patients aged 55 to 74 who were screened with low-dose computed tomography (LDCT) rather than chest x-ray. This reduction was 20% after 6.5 years and 16% after 7.5 years, with a 6.7% reduction in all-cause mortality...

    journal_title:Journal of thoracic imaging

    pub_type: 评论,杂志文章

    doi:10.1097/RTI.0000000000000130

    authors: Zuckerman D

    更新日期:2015-01-01 00:00:00

  • Preresection Stained Glue Injection to Localize Pulmonary Small Nodules and Ground-glass Opacities.

    abstract:OBJECTIVE:We sought to introduce a localization procedure (methylene blue-stained N-butyl cyanoacrylate and N-octyl cyanoacrylate glue) in localizing pulmonary small nodules and ground-glass opacities before thoracoscopic resection, and to evaluate its efficacy. METHODS:A total of 20 patients with pulmonary small nodu...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0000000000000479

    authors: Wang J,Gao LB,Zhang H,Wang J,Liu L,Shi WY

    更新日期:2020-07-01 00:00:00

  • Diffusely Increased Myocardial Extracellular Volume With or Without Focal Late Gadolinium Enhancement: Prevalence and Associations With Left Ventricular Size and Function.

    abstract:PURPOSE:Myocardial extracellular volume fraction (ECV) using cardiovascular magnetic resonance (CMR) can identify diffuse lesions not detected by late gadolinium enhancement (LGE). We aimed to determine the prevalence of increased ECV and its relation to other CMR findings. MATERIALS AND METHODS:Consecutive patients (...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0000000000000515

    authors: Lundin M,Sörensson P,Maret E,Jenner J,Abdula G,Nickander J,Themudo R,Caidahl K,Kellman P,Sigfridsson A,Ugander M

    更新日期:2020-04-07 00:00:00

  • Thoracic Metastases From Primary Hepatobiliary and Pancreatic Malignancies: Predictable Patterns of Metastatic Spread.

    abstract::This article reviews common and uncommon patterns of thoracic metastatic disease in primary hepatobiliary and pancreatic malignancies that are often overlooked or improperly diagnosed because of atypical location or imaging appearance. An understanding of the pathophysiology and routes of tumor spread aids in tailorin...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/RTI.0000000000000189

    authors: Holwerda RA,Walker CM,Rosado-de-Christenson ML,Martínez-Jiménez S,Kunin JR,Pettavel PP,Betancourt SL

    更新日期:2015-11-01 00:00:00

  • Reversed halo sign after radiofrequency ablation of a lung nodule.

    abstract::We report a case of the "reversed halo sign" 6 weeks after radiofrequency ablation (RFA) of a lung neoplasm in an 80-year-old man. The "reversed halo sign," first described on computed tomography in cryptogenic organizing pneumonia, has later been described as being associated with a wide range of pulmonary pathologie...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e3182032203

    authors: Mango VL,Naidich DP,Godoy MC

    更新日期:2011-11-01 00:00:00

  • New applications of radionuclide studies in thoracic imaging.

    abstract::Future radionuclide studies in the lung will encompass not only improved evaluation of regional ventilation and perfusion in pulmonary embolism and lung cancer, but should also provide new information about alveolar-capillary permeability, cell kinetics in the lung, and pulmonary metabolism and receptors. With this in...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-198603000-00011

    authors: Alderson PO

    更新日期:1986-03-01 00:00:00

  • Contralateral decubitus positioning enhances computed tomographic angiographic evaluation of pulmonary vasculature in a patient with a pulmonary arteriovenous malformation.

    abstract::Computed tomographic pulmonary angiography has become the diagnostic procedure of choice in patients suspected of having a pulmonary embolus. However, intrapulmonary shunting of blood in a variety of pathologic conditions can cause suboptimal opacification of the pulmonary arterial circulation and result in a suboptim...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e318242b4b3

    authors: Tafti BA,Berenji GR,Santiago S,Barack BM

    更新日期:2012-11-01 00:00:00

  • Reexpansion pulmonary edema: computed tomography findings in 22 patients.

    abstract:PURPOSE:To determine the computed tomography (CT) imaging features of reexpansion pulmonary edema. MATERIALS AND METHODS:A retrospective review was performed of 22 consecutive patients with clinical and radiologic features consistent with reexpansion pulmonary edema (14 male, 8 female; mean age, 56±22.8 y; range, 19 t...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e3181ced052

    authors: Gleeson T,Thiessen R,Müller N

    更新日期:2011-02-01 00:00:00

  • Tuberculosis in infants and children.

    abstract::During the past several years, the previously steady decline in the annual incidence of tuberculosis has reversed. Primary tuberculosis, the most common form in children, presents with radiographic findings that are quite different from the characteristic changes of postprimary tuberculosis commonly seen in adults. Th...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/00005382-199004000-00005

    authors: Stansberry SD

    更新日期:1990-04-01 00:00:00

  • Tetralogy of Fallot: diagnostic imaging after palliative and corrective surgery.

    abstract::Tetralogy of Fallot was invariably fatal until the development of palliative and later corrective surgical procedures. The prognosis for children with tetralogy of Fallot continues to improve almost a half century after the earliest palliative surgical procedure was performed successfully. Imaging of the child and adu...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:

    authors: Greenberg SB,Faerber EN,Balsara RK

    更新日期:1995-01-01 00:00:00

  • Transthoracic hilar and mediastinal biopsy.

    abstract::Transthoracic needle biopsy (TNB) of the mediastinum is an accurate, safe, and cost-effective diagnostic tool for the evaluation of mediastinal masses and lymphadenopathy. The technique is most useful in the staging of carcinoma, where it serves as a less expensive and minimally invasive alternative to mediastinoscopy...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/00005382-199710000-00003

    authors: Protopapas Z,Westcott JL

    更新日期:1997-10-01 00:00:00

  • Measurement methods and algorithms for the management of solid nodules.

    abstract::The increased detection of incidental small pulmonary nodules on multidetector computed tomography has driven attempts to refine the characterization and management of such nodules. A variety of methods have been developed to measure the size and biological activity of nodules to help define their nature, but these ha...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章,评审

    doi:10.1097/RTI.0b013e31824f83e1

    authors: Nair A,Baldwin DR,Field JK,Hansell DM,Devaraj A

    更新日期:2012-07-01 00:00:00

  • Small pulmonary nodule management: a survey of the members of the Society of Thoracic Radiology with comparison to the Fleischner Society guidelines.

    abstract:PURPOSE:We surveyed the members of the Society of Thoracic Radiology regarding their interpretation of and management decision for small pulmonary nodules on computed tomography. We then compared their responses with the published guidelines set forth by the Fleischner Society. MATERIALS AND METHODS:A survey consistin...

    journal_title:Journal of thoracic imaging

    pub_type: 杂志文章

    doi:10.1097/RTI.0b013e3181d73a78

    authors: Esmaili A,Munden RF,Mohammed TL

    更新日期:2011-02-01 00:00:00