Chronic Cystic Lung Disease: Diagnostic Accuracy of High-Resolution CT in 92 Patients
Mitsuhiro Koyama1,
Takeshi Johkoh1,
Osamu Honda1,
Mitsuko Tsubamoto1,
Takenori Kozuka1,
Noriyuki Tomiyama1,
Seiki Hamada1,
Hironobu Nakamura1,
Masanori Akira2,
Kazuya Ichikado3,
Kiminori Fujimoto4,
Toru Rikimaru5,
Ukihide Tateishi6 and
Nestor L. Müller7
1 Department of Radiology, Osaka University Graduate School of Medicine, 2-2
Yamadaoka, Suita, Osaka, 565-0871, Japan.
2 Department of Radiology, National Kinki Chuo Hospital for Chest Disease, 1180
Nagasone-cho, Sakai, Osaka, 591-8025, Japan.
3 First Department of Internal Medicine, Kumamoto University School of Medicine,
1-1-1 Honjo, Kumamoto, 860-0811, Japan.
4 Department of Radiology, Kurume University School of Medicine, 67 Asahi-machi,
Kurume, 830-0011, Japan.
5 First Department of Internal Medicine, Kurume University School of Medicine,
Kurume, 830-0011, Japan.
6 Department of Radiology, Hokkaido University School of Medicine, North-15,
West-7, Kita-Ku, Sapporo, 060-8638, Japan.
7 Department of Radiology, University of British Columbia and Vancouver Hospital
and Health Sciences Center, 855 W. 12th Ave., Vancouver, B. C. V5Z 1M9,
Canada.
View larger version (128K):
[in a new window]
|
Fig. 1. —Usual interstitial pneumonia in 69-year-old man.
High-resolution (1-mm-collimation) CT scan obtained at level of right inferior
pulmonary vein shows extensive areas of ground-glass attenuation with
honeycombing (arrowheads). Cystic air spaces are clustered and share
walls. Note traction bronchiectasis (arrows).
|
|
View larger version (89K):
[in a new window]
|
Fig. 2. —Desquamative interstitial pneumonia in 57-year-old man.
High-resolution (1-mm-collimation) CT scan obtained at level of right inferior
pulmonary vein reveals areas of ground-glass attenuation (arrowheads)
involving mainly subpleural lung regions. Note localized areas of low
attenuation near center of secondary lobules (arrows).
|
|
View larger version (104K):
[in a new window]
|
Fig. 3. —Lymphocytic interstitial pneumonia in 49-year-old woman.
High-resolution (1-mm-collimation) CT scan obtained at level of tracheal
carina shows several thin-walled cystic air spaces (large arrows) and
thickened bronchovascular bundles (small arrows). Note poorly defined
centrilobular nodules, areas of ground-glass attenuation, and thickening of
interlobular septa (arrowheads).
|
|
View larger version (125K):
[in a new window]
|
Fig. 4. —Langerhans cell histiocytosis in 24-year-old woman.
High-resolution (1-mm-collimation) CT scan obtained at level of tracheal
carina reveals numerous thin- and thick-walled cysts (arrows) in
right upper lobe. Some cysts are very irregular in shape. Note several nodules
(arrowheads).
|
|
View larger version (120K):
[in a new window]
|
Fig. 5. —Lymphangioleiomyomatosis in 46-year-old woman.
High-resolution (1-mm-collimation) CT scan obtained at level of tracheal
carina shows innumerable contiguous cysts throughout lung parenchyma. Cysts
are variable in appearance, having differing shapes and sizes and various
degrees of wall thickness.
|
|
View larger version (96K):
[in a new window]
|
Fig. 6. —Emphysema in 75-year-old man. High-resolution
(1-mm-collimation) CT scan obtained at level of tracheal carina reveals
localized areas of low attenuation near center of secondary lobules. No
discrete cyst walls are seen.
|
|
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Copyright © 2003 by the American Roentgen Ray Society.
