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AJR 2005; 185:354-363
© American Roentgen Ray Society


Perspective

Radiologic and Pathologic Features of Bronchiolitis

Sudhakar J. Pipavath1,2, David A. Lynch3, Carlyne Cool3, Kevin K. Brown4 and John D. Newell4

1 Department of Radiology, University of Washington, Seattle, WA.
2 Present address: Teleradiology Solutions, Bangalore, KA, India.
3 Department of Radiology, University of Colorado Health Sciences Center, 4200 E Ninth Ave., Box A030, Denver, CO 80262.
4 National Jewish Medical and Research Center, Denver, CO.

Abstract

OBJECTIVE. The purpose of this article is to describe and illustrate the clinical, pathologic, and imaging features of the inflammatory and fibrotic forms of bronchiolitis. The CT features presented in this article represent the typical features associated with each entity.

CONCLUSION. Direct signs of bronchiolitis include centrilobular nodules and tree-in-bud pattern. Indirect signs include mosaic attenuation and air trapping. Although classic examples of each entity exist, there can be substantial overlap in the appearances, and distinguishing among these entities is not always possible. When high-resolution CT features overlap, clinical details will usually help to narrow the differential diagnosis.


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