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Focal Pulmonary Interstitial Opacities Adjacent to Thoracic Spine Osteophytes

Shoichiro Otake1, Masashi Takahashi2 and Takeo Ishigaki3

1 Department of Radiology, Toki Municipal General Hospital, 703-24 Tokitsuguchi, Tokitsu-cho, Toki, Gifu 509-5193 Japan.
2 Department of Radiology, Shiga University of Medical Science, Ohtsu, Shiga 520-2192 Japan.
3 Department of Radiology, Nagoya University School of Medicine, Nagoya, Aichi 466-8550 Japan.



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  		Fig. 1. —CT image shows reticular pattern (arrow) adjacent to 8-mm-thick osteophyte in 71-year-old woman.

 


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  		Fig. 2. —CT image shows linear pattern (arrow) adjacent to 10-mm-thick osteophyte in 71-year-old woman.

 


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  		Fig. 3A. —57-year-old woman with focal interstitial opacity. CT image obtained with patient in supine position shows reticular pattern (arrow) adjacent to 10-mm-thick osteophyte.

 


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  		Fig. 3B. —57-year-old woman with focal interstitial opacity. CT image obtained with patient in prone position also shows reticular pattern (arrow), which suggests irreversible change.

 


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  		Fig. 4A. —75-year-old man who died from rupture of left common iliac aneurysm. Photograph of posterior aspect of lower lobe of right lung shows focal lesion (arrows).

 


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  		Fig. 4B. —75-year-old man who died from rupture of left common iliac aneurysm. CT image shows reticular pattern (white arrow) adjacent to 10-mm-thick osteophyte. Note aneurysm of descending aorta (black arrow).

 


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  		Fig. 4C. —75-year-old man who died from rupture of left common iliac aneurysm. Axial section of gross specimen corresponding to B shows white change uniformly spreading in subpleural region (arrows).

 


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  		Fig. 4D. —75-year-old man who died from rupture of left common iliac aneurysm. Photomicrograph of histopathologic specimen shows collapse of alveolar spaces in subpleural region (arrows). (H and E,x40)

 


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  		Fig. 4E. —75-year-old man who died from rupture of left common iliac aneurysm. Photomicrograph obtained with higher magnification than that shown in D reveals increase in collagen fibers (asterisks). (Azan stain,x100)

 

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