Diagnostic Approach to the Patient With Diffuse Lung Disease

Slides:

Advertisements

Similar presentations

HRCT of Common Lung Diseases W. Richard Webb MD. Common Lung Diseases: HRCT Infections (pneumonia, airways disease) Infections (pneumonia, airways disease)

Advertisements

High-Resolution Lung CT: Key Findings and What They Mean W

Pracical Aproach to Interstitial Lung Diseases

In the name of god.

Kevin O. Leslie, MD, Mayo Clinic, Scottsdale, Arizona

A History Lesson: Pulmonary Vein Stenosis

Polymyositis Associated With Severe Interstitial Lung Disease

Pulmonary Tuberous Sclerosis

Volume 46, Issue 5, Pages (November 1964)

Interstitial Lung Disease Following Single-Agent Nanoparticle Albumin-Bound Paclitaxel Treatment in Patients with Advanced Non-Small Cell Lung Cancer -

Management of Myositis-Related Interstitial Lung Disease

Koichi Nishimura, M.D., Harumi Itoh, M.D. CHEST

Volume 142, Issue 2, Pages (August 2012)

Osimertinib-Induced Interstitial Lung Disease Presenting as Eosinophilic Pneumonia Hiroaki Tachi, MD, Toshihiro Shiozawa, MD, Chio Sakai, MD, Mariko Kasuga,

Idiopathic Pulmonary Fibrosis: Current Concepts

A History Lesson: Pulmonary Vein Stenosis

Cystic and Cavitary Lung Diseases: Focal and Diffuse

Urinothorax: Unexpected Cause of a Pleural Effusion

Pulmonary Alveolar Proteinosis

a-d) Typical changes over time in different diffuse lung diseases

Changes in high-resolution computed tomography (HRCT) pattern over time. a) Idiopathic pulmonary fibrosis (IPF), increased specificity over time. Changes.

Upper Lobe Pulmonary Fibrosis Associated With High-Dose Chemotherapy Containing BCNU for Bone Marrow Transplantation James M. Parish, MD, John R. Muhm,

Volume 145, Issue 3, Pages (March 2014)

Usual Interstitial Pneumonia Complicating Dyskeratosis Congenita

Mycobacterium avium Complex Lung Disease and Panhypopituitarism

Jay H. Ryu, M.D., Eric J. Olson, M.D., Patricia A. Pellikka, M.D.

Pulmonary Infiltrates and Eosinophilia Associated With Sulfasalazine

Imatinib Mesylate-Induced Interstitial Pneumonitis

Beyond Metastatic Disease: A Pictorial Review of Multinodular Lung Disease With Computed Tomographic Pathologic Correlation Girish S. Shroff, MD, Mary.

Sirolimus-Associated Diffuse Alveolar Hemorrhage

Idiopathic Pulmonary Fibrosis: Evolving Concepts

Renal Cell Carcinoma Associated With Sarcoidlike Tissue Reaction

M. Watanabe, MD, K. Natsuga, MD, PhD, M. Ota, MD, PhD, K. Ito, MD, PhD

Rheumatoid Arthritis-Associated Interstitial Lung Disease

Radiology assessment of pulmonary amyloidosis

An Unusual Presentation of Malignant Pleural Mesothelioma

Chronic Eosinophilic Pneumonia: A Diagnostic Challenge

Recurrent Fevers, Cough, and Pulmonary Opacities in a Middle-Aged Man

Volume 140, Issue 4, Pages (October 2011)

Otis B. Rickman, DO, Jay H. Ryu, MD, Mary E

The Red Scalp Sign Mayo Clinic Proceedings

a) Chest radiograph showing bilateral coarse interstitial shadowing

Meningioma Metastatic to the Lung

Nonspecific interstitial pneumonia in a woman a, c) at the time of Sjögren's syndrome diagnosis and b) after 3 years. a, b) High-resolution computed tomography.

Diagnosis of Interstitial Lung Diseases

Interstitial Lung Disease and Other Pulmonary Manifestations in Connective Tissue Diseases Isabel Mira-Avendano, MD, Andy Abril, MD, Charles D. Burger,

Nonspecific interstitial pneumonia: high-resolution computed tomography images from a 46-year-old male patient who underwent lung transplantation. a) The.

Typical computed tomography features of acute respiratory distress syndrome showing: non-homogeneous distribution, a ventro-dorsal gradient of density,

Radiodiagnostic imaging

Pictorial Essay: Multinodular Disease

Temozolomide-Associated Organizing Pneumonitis

Pulmonary Hypertension in Patients With Interstitial Lung Diseases

Pattern high-resolution computed tomography consistent with nonspecific interstitial pneumonia in a patient with histological diagnosis of usual interstitial.

68-Year-Old Man With Chronic Diarrhea, Nausea, and Vomiting

71-Year-Old Man With Syncope and Chronic Leg Edema

Pulmonary Hemorrhage After Percutaneous Coronary Intervention With Abciximab Therapy Rak Kyeong Choi, MD, Nae Hee Lee, MD, Dal Soo Lim, MD, Suk Keun.

Pheochromocytoma in a Patient With End-Stage Renal Disease

Preoperative Smoking Cessation: The Role of the Primary Care Provider

Pulmonary Sarcoidosis: Diagnosis and Treatment

30-Year-Old Man With Recurrent Episodes of Dyspnea

Volume 155, Issue 4, Pages e91-e96 (April 2019)

A) Axial and b) coronal computed tomography scans of usual interstitial pneumonia pattern in a patient with rheumatoid arthritis. a) Axial and b) coronal.

Serious Pulmonary Toxicity Secondary to Novel Hepatitis C Antiviral Therapy in a Liver Transplant Recipient Richard A. Helmers, MD, Thomas J. Byrne,

High-resolution computed tomography with nonspecific interstitial pneumonia pattern in a patient with connective tissue disease; bilateral reticulation.

Acute Exacerbation of Interstitial Fibrosis After Pulmonary Resection

Ann Vu, MD, Robert Vassallo, MD, Jay H. Ryu, MD CHEST

a) A 2-year-old male with Niemann–Pick disease type A

High-resolution computed tomography from a patient with anti-Jo1 positive polymyositis showing basilar predominate reticulation and ground-glass opacity.

High-resolution computed tomography scan demonstrating a typical example of usual interstitial pneumonia pattern with honeycombing change and traction.

A 40-Year-Old Man With Albinism and Progressive Dyspnea

Presentation transcript:

Diagnostic Approach to the Patient With Diffuse Lung Disease Jay H. Ryu, MD, Eric J. Olson, MD, David E. Midthun, MD, Stephen J. Swensen, MD Mayo Clinic Proceedings Volume 77, Issue 11, Pages 1221-1227 (November 2002) DOI: 10.4065/77.11.1221 Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Chest radiograph of a patient with bird fancier's disease shows diffuse infiltrative lung disease characterized by numerous poorly circumscribed nodular opacities. Mayo Clinic Proceedings 2002 77, 1221-1227DOI: (10.4065/77.11.1221) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Computed tomographic scan of the chest shows characteristic findings of chronic eosinophilic pneumonia. Note multifocal regions of consolidation, which in this case have a typical distribution in the periphery of the lungs. Cryptogenic organizing pneumonia has a similar radiological appearance. Mayo Clinic Proceedings 2002 77, 1221-1227DOI: (10.4065/77.11.1221) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 High-resolution computed tomographic scan of usual interstitial pneumonia. These findings are characteristic and include a honeycomb pattern with reticulation. A peripheral and basilar distribution is typical. Note regions of traction bronchiectasis. Reprinted from Ryu et al.26 Mayo Clinic Proceedings 2002 77, 1221-1227DOI: (10.4065/77.11.1221) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 High-resolution computed tomographic scan of a patient with hypersensitivity pneumonitis. Note diffuse, poorly circumscribed nodular pattern with ground-glass attenuation. These findings are characteristic of subacute changes of hypersensitivity pneumonitis. Mayo Clinic Proceedings 2002 77, 1221-1227DOI: (10.4065/77.11.1221) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 5 High-resolution computed tomographic scan of a patient with lymphangioleiomyomatosis. A diffuse pattern of well-circumscribed cysts is present throughout the lung. In lymphangioleiomyomatosis, the cysts have a diffuse homogeneous appearance throughout the lungs. The lung area between the cysts has a normal appearance on computed tomography. Mayo Clinic Proceedings 2002 77, 1221-1227DOI: (10.4065/77.11.1221) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 6 High-resolution computed tomographic scan of patient with desquamative interstitial pneumonia. Note mosaic pattern of ground-glass opacity. Several lobules are spared from this infiltration process. Note that in regions of ground-glass opacity, the vessels are visible, which is how ground-glass opacity is defined. Mayo Clinic Proceedings 2002 77, 1221-1227DOI: (10.4065/77.11.1221) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 7 High-resolution computed tomographic scan shows a septal pattern due to lymphangitic carcinomatosis. Note thickening of interlobular septa, which defines secondary pulmonary lobules. Lymphangitic carcinomatosis tends to be moremultifo cal as opposed to cardiogenic edema, which tends to be more diffuse and with bilateral pleural effusions. The absence of marked nodularity involving the interlobular septa is uncharacteristic of lymphangitic carcinomatosis. Mayo Clinic Proceedings 2002 77, 1221-1227DOI: (10.4065/77.11.1221) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions